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• W3155040291 abstract "Objective: White coat hypertension and masked hypertension are two diagnoses that have opposite defining characteristics. White coat hypertension is defined as having an abnormally elevated blood pressure reading at the doctor's office however it is normal otherwise. Masked hypertension is defined as having a normal blood pressure reading in office while being hypertensive otherwise. White coat hypertension is well understood to be provoked by anxiety and stress when visiting a doctor's office. Masked hypertension is frequently under-diagnosed as patients with normal blood pressure readings likely do not have further investigations where masked hypertension can be identified. According to current literature, masked hypertension can be present in as much as 20% of the population. This study analyzes a sample of patients in an outpatient setting to determine the prevalence of such conditions in a typical Canadian population.Design and method: 500 patients from a single outpatient cardiology practice were screened with a 24 hour ambulatory blood pressure monitor and results were analyzed the following day. Patients were diagnosed as having masked hypertension, white coat effect/hypertension or having normal blood pressures. Results: Of the 500 patients analyzed, 6.2% of the cohort was diagnosed as having masked hypertension. 23.6% of the cohort was diagnosed as having white coat effect. 60% of the screened patients were normotensive whereas the remaining 40% had some degree of hypertension, including masked hypertension. Conclusions: The data obtained from the analysis shows that in this typical segment of Canadian population, the diagnosis of masked hypertension is well below the current expected prevalence for this condition. This is noted as only 6% of the population was diagnosed as having masked hypertension. Almost 1/4 of the patients were appropriately shown to have white coat effect on their blood pressure recordings. The majority of the patients were identified as having normal blood pressure. The data suggests that masked hypertension may not be as significant a condition as previously suspected. White coat hypertension is especially prevalent and should be followed up on as white coat hypertension can sometimes turn into permanent hypertension." @default.
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• W3155040291 date "2021-04-01" @default.
• W3155040291 modified "2023-09-25" @default.
• W3155040291 title "COMPARISON OF WHITE COAT AND MASKED HYPERTENSION IN AN OUTPATIENT CARDIOLOGY POPULATION" @default.
• W3155040291 doi "https://doi.org/10.1097/01.hjh.0000747064.36744.3e" @default.
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