Whitecoat hypertension, a condition when a patient’s blood pressure readings are higher when taken at the doctor’s office compared to other settings, was originally attributed to the anxiety patients might experience during medical appointments. However, over the years, research has suggested that elevated readings might be a sign of underlying risk for future health problems. patients with untreated white coat hypertension not only have a heightened risk of heart disease, but they are twice as likely to die from heart disease than people with normal blood pressure. Researchers also found that patients with white coat hypertension who were taking medication to treat their high blood pressure, called antihypertensives, did not have an increased risk of heart disease or cardiovascular-related death compared to those with normal blood pressure readings. High blood pressure, or hypertension, is defined as a top reading of at least 130 or a bottom one of 80. The condition affects nearly a third of American adults and, if left untreated, increases one’s risk for severe complications, including heart attack and stroke. To diagnose and manage the condition, recent hypertension guidelines strongly recommend out-of-office blood pressure monitoring, such as at-home monitoring and ambulatory blood pressure monitoring, which requires patients to wear a portable device that records blood pressure readings over a 24-hour period. However, providers have been slow to adopt this practice due, in part, to skepticism over the usefulness of screening for white coat hypertension given the inconsistent findings – from past studies – and uncertainty around its association with heart disease and death.
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