White coat hypertension: a recognised syndrome with uncertain implications

Landray, Martin J; Lip, Gregory Y.H.

doi:10.1038/sj.jhh.1000738

Cited by 8 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We have provided an environment that reduces the one-on-one patient interaction potentially responsible for the 'white coat syndrome' [12], presents male health information with educational visual aids in a small group setting, and promotes asking questions and learning from other patients' questions. Each of these aspects of MEGA is designed to get men more interested and invested in their health maintenance.…”

Section: Introductionmentioning

confidence: 99%

High patient satisfaction amongst males participating in men's educational group appointments (MEGA) for routine physical exams

Campbell¹,

Gosselin²

2007

The Journal of Men's Health & Gender

View full text Add to dashboard Cite

Background: There is an insidious health crisis facing men in the United States today. They have a higher age-adjusted death rate, compared with that of women, from nearly all of the leading causes of death. Although genetics play a role, unhealthy behavior, avoidance of health care, and making poor healthrelated decisions also significantly contribute to premature death and disability amongst men. Having identified that behavior change amongst men is needed, and using the observation that group dynamics have been shown to benefit in other behavior change programs (such as weight loss and alcohol cessation), we have applied the same group dynamic principle to men's health maintenance. Herein we report on patient satisfaction using this approach, and outline a plan to study its long term effect on men's health-related behavior. Methods: We initiated a small group appointment program for routine male physical examinations, termed the Men's Educational Group Appointment (MEGA). It was designed to emphasize patient education about male-specific health issues, to increase patient/provider face time, and to provide an interactive environment that encourages men to learn from their and other patients' questions. It involved a private physical exam segment, a group review of laboratory data and their significance, a didactic PowerPoint presentation using visual aids (and humor) to illustrate key elements of health issues facing men, and a lengthy question and answer session. Satisfaction surveys were administered at the conclusion of each session and compiled for analysis. Results/Conclusions: We observed high patient satisfaction amongst males participating in the MEGA for routine physical exams (100% of patients responded that it was either 'worthwhile' (21%) or 'extremely worthwhile' (79%). This model appears to foster increased patient education based upon both more time with the health care providers, and the ability of patients to benefit from the questions of other patients. Our current challenge is to demonstrate its superiority to the traditional one-on-one visit with respect to information retention, follow-through with recommended health screening practices, and overall better health-related decisions.

show abstract

Section: Introductionmentioning

confidence: 99%

High patient satisfaction amongst males participating in men's educational group appointments (MEGA) for routine physical exams

Campbell¹,

Gosselin²

2007

The Journal of Men's Health & Gender

View full text Add to dashboard Cite

show abstract

“…"White coat hypertension" diagnostics and therapy in different patient groups is a subject of numerous scientific studies. Some of them suggest that WCH may constitute a transient stage in development of hypertension and be associated with higher incidence of cardiovascular diseases [18,[22][23][24].…”

Section: Introductionmentioning

confidence: 99%

"White coat hypertension" in type 2 diabetic patients

Ruxer¹,

Możdżan²,

Barański³

et al. 2007

Polish Archives of Internal Medicine

View full text Add to dashboard Cite

ARTYKUŁY ORYGINALNE <140/90 mmHg in all HT patients and to <130/80 mmHg in HT patients with diabetes, as well as in patients at high cardiovascular risk [9]. There are numerous differences between the American guidelines (JNC-7) published in 2003 and current European guidelines. Most of the differences derive from a still better knowledge of the pathophysiology and progress in hypertension treatment over the last four years [10]. Likewise the etiology of "white coat hypertension" (WCH) is not finally explained [11-13]. It is considered that anxiety reactions, as an effect of the presence of medical personnel when measuring blood pressure (BP), play a significant role in the development of that phenomenon [14-16]. Incidence of WCH depends among others on the assumed standards of blood pressure values, a number of ambulatory visits, demographical factors and the patients' age [17-19]. According to analysis performed by Hansen et al. [20] WCH concerns over 10% of the general population. "White coat hypertension" is diagnosed at increased values of blood pressure within medical facilities, while measurements carried out outside such facilities remain within normal limits [17]. According to ESH and ESC guidelines of 2007, the values of blood pressure for clinical measurements should be "White coat hypertension" in type 2 diabetic patients "Nadciśnienie białego fartucha" u chorych na cukrzycę typu 2

show abstract

“…Initially, it has been considered as an abnormally elevated blood pressure in hospital or clinic with personnel wearing white coats. Later on, it has been shown that elevation of blood pressure can also be seen in an environment with health care personnel dressed casually [ 1 ]. Definition of white coat hypertension in the literature is not uniform.…”

Section: Reviewmentioning

confidence: 99%

“…Discussion about white coat hypertension in children has been going on since 1990 [ 5 ]. Similarly to adults, it is defined as elevated blood pressure in clinic with normal levels at home measured during the day with ambulatory blood pressure monitoring [ 1 , 6 ].…”

Section: Specific Aspects In Pediatricsmentioning

confidence: 99%

White coat hypertension in pediatrics

et al. 2016

View full text Add to dashboard Cite

The article summarizes current information on blood pressure changes in children during clinic visit. White coat as a general dressing of physicians and health care personnel has been widely accepted at the end of the 19th century. Two problems can be associated with the use of white coat: white coat phenomenon and white coat hypertension. Children often attribute pain and other unpleasant experience to the white coat and refuse afterwards cooperation with examinations. Definition of white coat hypertension in the literature is not uniform. It has been defined as elevated blood pressure in the hospital or clinic with normal blood pressure at home measured during the day by ambulatory blood pressure monitoring system. White coat effect is defined as temporary increase in blood pressure before and during visit in the clinic, regardless what the average daily ambulatory blood pressure values are. Clinical importance of white coat hypertension is mainly because of higher risk for cardiovascular accidents that are dependent on end organ damage (heart, vessels, kidney). Current data do not allow any clear recommendations for the treatment. Pharmacological therapy is usually started in the presence of hypertrophic left ventricle, changes in intimal/medial wall thickness of carotic arteries, microalbuminuria and other cardiovascular risk factors. Nonpharmacological therapy is less controversial and certainly more appropriate. Patients have to change their life style, need to eliminate as much cardiovascular risk factors as possible and sustain a regular blood pressure monitoring.

show abstract

White coat hypertension: a recognised syndrome with uncertain implications

Cited by 8 publications

References 19 publications

High patient satisfaction amongst males participating in men's educational group appointments (MEGA) for routine physical exams

High patient satisfaction amongst males participating in men's educational group appointments (MEGA) for routine physical exams

"White coat hypertension" in type 2 diabetic patients

White coat hypertension in pediatrics

Contact Info

Product

Resources

About