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- W2899442057 abstract "Objectives: To study the value of white coat effect (WCE) in the diagnosis and treatment of hypertensive patients. Methods: 410 patients with grades 1–2 essential hypertension were recruited. Home blood pressure (HBP) were measured for 1 week. According to the differences of the office blood pressure (OBP) and HBP, the untreated patients were defined as sustained hypertensive patients (n = 66) and white coat hypertensive patients (n = 38);the treated participants were classified into four types: controlled hypertension (n = 131), treated normalized hypertension (n = 95), masked effect hypertension (n = 16), sustained uncontrolled hypertension (n = 64). Results: (1)In the untreated group, the prevalence of white coat hypertension was 36.54%(38/104). White coat hypertensive patients showed larger white coat effects compared with sustained hypertensive patients, (ΔSBP:22.63 ± 9.73 VS 10.37 ± 8.66mmHg, p < 0.05; ΔDBP:15.02 ± 6.64 VS 6.58 ± 5.51mmHg, p < 0.05). After adjustment for gender and age, logistic regression analysis showed that only office blood pressure grade (OR = 0.109, p < 0.05) and WCE grade (OR = 8.276, P < 0.05) were independently associated with white coat hypertension .(2) In the treated group, the prevalence of treated normalized hypertension is 31.05%, whose white coat effects was the greatest compared with controlled hypertension and sustained uncontrolled hypertension, (ΔSBP:25.17 ± 9.97 > 7.13 ± 9.92 and 8.09 ± 9.39mmHg, p < 0.05). Logistic regression analysis showed that only office blood pressure grade (OR = 0.119, P < 0.05), WCE grade (OR = 7.436, P < 0.05) were independently associated with treated normalized hypertensive patients. Conclusion: 1/3 hypertension patients were companied with white coat effect. Home BP monitoring should be recommended to avoid overdiagnosis and overtreatment." @default.
- W2899442057 created "2018-11-09" @default.
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- W2899442057 date "2018-10-01" @default.
- W2899442057 modified "2023-10-16" @default.
- W2899442057 title "A3939 The value of white coat effect in the diagnosis and treatment of patients with essential hypertension" @default.
- W2899442057 doi "https://doi.org/10.1097/01.hjh.0000548617.89621.10" @default.
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