Chronic hypertension differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
True or pathologic hypertension should be distinguished from benign entities such as white coat hypertension. | True or pathologic hypertension should be distinguished from benign entities such as [[white coat hypertension]]. | ||
'''[[White coat]] [[hypertension]]''', more commonly known as '''white coat syndrome''', is a phenomenon in which patients exhibit elevated [[blood pressure]] in a clinical setting but not in other settings.<ref name="urlHypertension: Overview - eMedicine">{{cite web |url=http://emedicine.medscape.com/article/889877-overview |title=Hypertension: Overview - eMedicine }}</ref> It is believed that this is due to the [[anxiety]] some people experience during a clinic visit.<ref name="healthminutes01">{{cite video |people=Swan, Norman |date=20 June 2010 |title=Health Minutes - Hypertension |url=http://www.youtube.com/watch?v=YQC9PYgZ_Zw |accessdate=27 August 2010}}</ref> | |||
As the notion of "normal" is subjective and changes from individual to individual a reference measurement was necessary. As night-time and self measured values are often not subject to daily [[Stress (medicine)|stress]] and clinical values are subject to unusual [[anxiety]], daytime ambulatory blood pressure is used as a reference as it takes into account daily stress but not in excess. Due to specificity involved in diagnosis of white coat hypertension, many problems have been incurred in its [[medical diagnosis|diagnosis]] and treatment. | |||
The term "masked hypertension" can be used to describe the contrasting phenomenon, where blood pressure is elevated during daily living, but not in an office setting.<ref name="pmid17664850">{{cite journal |author=Pickering TG, Eguchi K, Kario K |title=Masked hypertension: a review |journal=Hypertens. Res. |volume=30 |issue=6 |pages=479–88 |year=2007 |month=June |pmid=17664850 |doi= 10.1291/hypres.30.479|url=http://joi.jlc.jst.go.jp/JST.JSTAGE/hypres/30.479?from=PubMed |format= – <sup>[http://scholar.google.co.uk/scholar?hl=en&lr=&q=intitle%3AMasked+hypertension%3A+a+review&as_publication=Hypertens.+Res.&as_ylo=2007&as_yhi=2007&btnG=Search Scholar search]</sup>}} {{dead link|date=April 2009}}</ref> | |||
==Diagnosis of White Coat Hypertension== | ==Diagnosis of White Coat Hypertension== | ||
Revision as of 22:39, 1 November 2011
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Hypertension Main page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor in Chief: Firas Ghanem, M.D. and Atif Mohammad, M.D.
Overview
True or pathologic hypertension should be distinguished from benign entities such as white coat hypertension.
White coat hypertension, more commonly known as white coat syndrome, is a phenomenon in which patients exhibit elevated blood pressure in a clinical setting but not in other settings.[1] It is believed that this is due to the anxiety some people experience during a clinic visit.[2]
As the notion of "normal" is subjective and changes from individual to individual a reference measurement was necessary. As night-time and self measured values are often not subject to daily stress and clinical values are subject to unusual anxiety, daytime ambulatory blood pressure is used as a reference as it takes into account daily stress but not in excess. Due to specificity involved in diagnosis of white coat hypertension, many problems have been incurred in its diagnosis and treatment.
The term "masked hypertension" can be used to describe the contrasting phenomenon, where blood pressure is elevated during daily living, but not in an office setting.[3]
Diagnosis of White Coat Hypertension
References
- ↑ "Hypertension: Overview - eMedicine".
- ↑ Swan, Norman (20 June 2010). Health Minutes - Hypertension. Retrieved 27 August 2010.
- ↑ Pickering TG, Eguchi K, Kario K (2007). "Masked hypertension: a review" (– Scholar search). Hypertens. Res. 30 (6): 479–88. doi:10.1291/hypres.30.479. PMID 17664850. Unknown parameter
|month=ignored (help)[dead link]