"White coat" versus "sustained" borderline hypertension in Tecumseh, Michigan.
Stevo Julius,Agnes D. Mejia,Kerin A. Jones,Lisa Krause,Nicholas J. Schork,C. J. M. Van De Ven,Ernest H. Johnson,Jurij Petrin,Mohamed A. Sekkarie,Sverre E. Kjeldsen +9 more
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Findings do not support the accepted practice of using home blood pressure determination to distinguish groups of borderline hypertensive subjects with a lesser or greater clinical problem.Abstract:
During a survey of young subjects not receiving treatment for hypertension in Tecumseh, Michigan, clinic and self-monitored blood pressures taken at home (14 readings in 7 days) were obtained in 737 subjects (387 men, 350 women, average age 31.5 years). Hypertension in the clinic was diagnosed if the clinic blood pressure exceeded 140 mm Hg systolic or 90 mm Hg diastolic. In the absence of firm criteria for what constitutes hypertension at home, subjects whose average home blood pressure was in the upper decile of the whole population were considered to have hypertension at home. By these criteria, 7.1% of the whole population had "white coat" hypertension (i.e., high clinic but not elevated home readings). The prevalence of "sustained" hypertension (i.e., high readings in the clinic and at home) was 5.1%. Subjects with white coat and sustained borderline hypertension in Tecumseh were very similar. Both groups showed, at previous examinations (at ages 5, 8, 21, and 23 years), significantly higher blood pressure readings than the normotensive subjects. As young adults (average age 33.3 years), the parents of both hypertensive groups had significantly higher blood pressure readings than the parents of normotensive subjects. Both hypertensive groups had faster heart rates, higher systemic vascular resistance, and higher minimal forearm vascular resistance. Both hypertensive groups were more overweight, had higher plasma triglycerides, insulin, and insulin/glucose ratios than normotensive subjects. The white coat hypertensive group also had lower values of high density lipoprotein than the normotensive group. White coat hypertension is a frequent condition.(ABSTRACT TRUNCATED AT 250 WORDS)read more
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Journal ArticleDOI
Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension.
Paolo Verdecchia,Carlo Porcellati,Giuseppe Schillaci,Claudia Borgioni,Antonella Ciucci,Massimo Battistelli,M Guerrieri,Camillo Gatteschi,Ivano Zampi,Antonella Santucci,Carla Santucci,Gianpaolo Reboldi +11 more
TL;DR: It is suggested that ambulatory blood pressures stratifies cardiovascular risk in essential hypertension independent of clinic blood pressure and other traditional risk markers including echocardiographic left ventricular hypertrophy.
Journal ArticleDOI
Ambulatory Blood Pressure Is Superior to Clinic Blood Pressure in Predicting Treatment-Induced Regression of Left Ventricular Hypertrophy
Giuseppe Mancia,Alberto Zanchetti,Enrico Agebiti-Rosei,Giuseppe Benemio,Raffaele De Cesaris,Roberto Fogari,Achille Pessino,Carlo Porcellati,Antonio Salvetti,Bruno Trimarco +9 more
TL;DR: This data indicates that ambulatory blood pressure correlates more closely than clinic BP with the organ damage of hypertension and whether ABP predicts development or regression of hypertension-related morbidity and mortality is still under investigation.
Journal ArticleDOI
Recommendations for the use of home (self) and ambulatory blood pressure monitoring. American Society of Hypertension Ad Hoc Panel.
Book ChapterDOI
Endothelial Dysfunction and Hypertension.
Dildar Konukoglu,Hafize Uzun +1 more
TL;DR: The aim of this chapter is to explain endothelial dysfunction and the circulating molecules of endothelial cells as they become potential targets of therapeutic approach for hypertension, and the role of endothelium dysfunction in white coat hypertension has been discussed.
Journal ArticleDOI
Psychological stress and the progression of carotid artery disease.
TL;DR: The hypothesis that hemodynamic responses under conditions of mental stress may influence the progression of atherosclerosis is supported.
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Journal ArticleDOI
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Journal ArticleDOI
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