Скачать или смотреть White Coat HTN - High BP?🩺

White coat hypertension is a condition where a patient’s blood pressure is high in a clinical setting (doctor’s clinic/hospital) but normal outside (home or ambulatory readings). It’s usually due to anxiety during medical visits.

📊 Diagnostic Criteria
Clinic BP: more than 130/80 mmHg
Home BP (HBPM): less than 130/80 mmHg

🧠 Pathophysiology (Simple)
Anxiety → ↑ sympathetic activity
↑ Adrenaline →Vasocinstruction ~ transient ↑ BP
No sustained vascular remodeling (unlike true hypertension)

👥 Who is more prone?
Elderly patients
First-time BP measurements
Anxious individuals
Non-smokers
Pregnant women

⚠️ Clinical Importance
Not completely benign
Higher risk of:
Progression to sustained hypertension
Cardiovascular disease (compared to normotensive individuals)

🩺 Management
No immediate antihypertensive drugs (if BP normal outside)
Lifestyle modification:
Salt restriction
Regular exercise
Weight control
Stress reduction
Regular follow-up with:
Home BP monitoring
Periodic ABPM

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