Current status of white coat hypertension: where are we?

Nuredini, Gani; Saunders, A.; Rajkumar, Chakravarthi; Okorie, Michael

doi:10.1177/1753944720931637

Cited by 38 publications

(28 citation statements)

References 55 publications

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“…Изолированная гипертония «белого халата» (изолированная офисная/клиническая АГ) -это состояние, при котором при повторных посещениях лечебного учреждения АД оказывается повышенным, а вне его, при суточном мониторировании АД или ДМАД, -нормальным [10][11][12]. Данное состояние выявляется примерно у 13% людей с АГ [16]. Правильно выбрали определение понятия 63,6% респондентов (СПО от 57,8 до 81% в разных центрах, p=0,176, V Крамера 0,131; В.…”

Section: Conclusion the Results Of The Study Indicate An Insufficient...unclassified

Knowledge of senior students in the definition, classification, and approaches to the treatment of arterial hypertension. Final results of the PHYSTARH project

et al. 2021

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Background. Arterial hypertension is a modifiable risk factor for the development of life-threatening cardiovascular complications. Early diagnosis and optimal treatment are the key to success in the fight against this pathology. Aim. To analyze the knowledge of senior medical students from different regions in the basic issues of hypertension. Materials and methods. The article presents the results of the first stage of the multicenter PHYSTARH study (the full name of the project is Physicians and undergraduates knowledge in arterial hypertension treatment). An anonymous questionnaire (pharmacoepidemiological survey) was conducted among 314 senior medical students from 6 cities of Russia and Ukraine. Results. The study revealed the average level of senior students knowledge. The average level of correct answers to the questions in the first part of the questionnaire was 49.4%. The minimum level of correct answers was obtained in the questions of determining hypertension by the value of home blood pressure monitoring, determining the degree of hypertension for a blood pressure of 140/110 mm Hg, the incidence of resistant hypertension, indications for drug correction of high normal blood pressure, the choice of the optimal class of drugs for initial antihypertensive therapy. The maximum level of correct answers was registered only for the question about the definition of hypertension. Conclusion. The results of the study indicate an insufficiently high level of students basic knowledge in the classification and treatment of hypertension.

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Section: Conclusion the Results Of The Study Indicate An Insufficient...unclassified

Knowledge of senior students in the definition, classification, and approaches to the treatment of arterial hypertension. Final results of the PHYSTARH project

et al. 2021

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“…As a consequence, the detection of this phenotype would avoid unnecessary treatment intensification, with may have related side effects and lead to an increase in costs. Some particular characteristics have been described in subjects with white coat hypertension and/or WUCH [19][20][21], especially when ABPM is used as the out-ofoffice BP measurement method. For instance, in the Spanish ABPM registry, Banegas et al found that, in treated hypertensives, age ≥ 60 years, female sex, non-smokers, the absence of diabetes and having a lesser target-organ damage were independent predictors of WUCH [22].…”

Section: Discussionmentioning

confidence: 99%

White Coat Uncontrolled Hypertension in Teleconsultation: A New and Frequent Entity

Barochiner

Marín

Janson

et al. 2021

High Blood Press Cardiovasc Prev

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Introduction Cardiovascular risk seems not to be greater in patients with white coat uncontrolled hypertension (WUCH) than in patients with sustained blood pressure (BP) control. Therefore, its detection is important to avoid overtreatment. The COVID-19 pandemic determined a massive migration of hypertension consultations from the face-to-face modality to teleconsultations, and it is unknown whether WUCH exists in this context. Aim We aimed to evaluate the prevalence of WUCH through home BP monitoring (HBPM) in treated hypertensive patients evaluated by teleconsultation. Methods We included treated hypertensive patients that owned a digital BP monitor. During teleconsultation, patients were asked to perform two BP measurements and then a 7-day HBPM, using the same device. Patients were classified as having WUCH if BP was ≥ 140 and/or 90 mmHg in teleconsultation and < 135/85 mmHg on HBPM. The prevalence of WUCH and its 95% confidence interval were estimated. One-way ANOVA, the Chi-square test or Fisher’s exact test were used to compare the characteristics of these patients with the other groups. Results We included 341 patients (45.2% male, mean age 62.3 years). The prevalence of WUCH was 33.1% (95% CI 28.3–38.3%). Significant differences were found in terms of age, the number of antihypertensive drugs and the use of calcium channel blockers, all lower in the WUCH group as compared with the groups with elevated BP on HBPM. Conclusion WUCH exists in teleconsultation and is very frequent. It can be easily detected though HBPM, thus avoiding overmedication, and its potential impact on side-effects and health costs.

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“…Although the mechanisms underlying the WCE are still poorly understood, hypotheses point towards psychological and emotional factors such as stress and anxiety ( Cobos et al, 2015 ; Nuredini et al, 2020 ). According to Grassi et al ( 1999 ), this is an alert reaction similar to the defence reactions observed in animals when faced with emotional stressors.…”

Section: Effects Of the White Coat On The Patient (“White Coat Effect”)mentioning

confidence: 99%

“What if It’s not Just an Item of Clothing?” – A Narrative Review and Synthesis of the White Coat in the Context of Aged Care

Crutzen

Adam

2022

Psychologica Belgica

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Although increasingly disputed, the white coat uniform is ubiquitous in geriatric care, which may reflect a phenomenon called medicalisation of ageing. This narrative review is the first attempt at integrating several theoretical approaches, such as the "white coat effect" and "enclothed cognition", in order to gain a comprehensive understanding of the use of this clothing item. Based on extensive empirical evidence, we will examine the consequences of wearing a uniform, not only on patients (in this case, older patients) and healthcare professionals, but also on their relationship. The white coat has powerful symbolic functions for healthcare professionals and is still preferred by older adults. However, the negative repercussions of wearing a uniform require us to question its use, particularly in environments where older persons live, such as nursing homes.

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Current status of white coat hypertension: where are we?

Cited by 38 publications

References 55 publications

Knowledge of senior students in the definition, classification, and approaches to the treatment of arterial hypertension. Final results of the PHYSTARH project

Knowledge of senior students in the definition, classification, and approaches to the treatment of arterial hypertension. Final results of the PHYSTARH project

White Coat Uncontrolled Hypertension in Teleconsultation: A New and Frequent Entity

“What if It’s not Just an Item of Clothing?” – A Narrative Review and Synthesis of the White Coat in the Context of Aged Care

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