WHITE COAT PHENOMENON IN PATIENTS RECEIVING ANTIHYPERTENSIVE THERAPY

被引：74

作者：

MYERS, MG

REEVES, RA

机构：

[1] Divisions of Cardiology and Clinical Pharmacology, Sunnybrook Health Science Centre, Toronto

[2] Departments of Medicine and Pharmacology, University of Toronto

来源：

AMERICAN JOURNAL OF HYPERTENSION | 1991年 / 4卷 / 10期

基金：

英国医学研究理事会;

关键词：

WHITE COAT HYPERTENSION; AMBULATORY MONITORING;

D O I：

10.1093/ajh/4.10.844

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

The occurrence of the white coat phenomenon in hypertensive patients receiving drug therapy was determined in a consecutive series of 71 patients undergoing ambulatory blood pressure (ABP) recordings because of suspected differences between office and ambulatory values. Overall mean (+/- SEM) office blood pressure (BP) was 166 +/- 2/95 +/- 1 nu-awake ABP 139 +/- 2/86 +/- 1 mm Hg. The white coat phenomenon [(office BP - ABP) greater-than-or-equal-to 20/10 mm Hg] was present in 52 of 71 patients: office BP 170 +/- 3/96 +/- 2 v ABP 135 +/- 2/83 +/- 1 mm Hg. A marked white coat effect [(office BP - ABP) greater-than-or-equal-to 40/20 mm Hg] was seen in 22 patients with office BP being 178 +/- 4/98 +/- 3 v ABP 131 +/- 3/79 +/- 2 mm Hg. The frequent occurrence of white coat phenomenon in these patients suggests that office BP readings may not always represent usual ABP in patients receiving chronic antihypertensive therapy.

引用

页码：844 / 849

页数：6

共 14 条

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