Diagnostic value of electrocardiography and echocardiography for white coat hypertension in the elderly

Kuwajima, Iwao; Miyao, Mariko; Uno, Ayako; Suzuki, Yasuko; Matsushita, Satoru; Kuramoto, Kizuku

doi:10.1016/0002-9149(94)90192-9

Cited by 18 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These issues of definition have clear implications in determining the clinical significance of WCH. In general, studies using lower threshold values to define WCH have reported normal left ventricular (LV) mass, 2 whereas studies using higher values have reported increased LV mass 6,19 in those patients identified as having WCH. Thus, when WCH in adults is defined most restrictively, the associated cardiovascular risk is similar to that of normotensive patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of white coat hypertension in children: importance of the definitions of normal ambulatory blood pressure and the severity of casual hypertension

Sorof¹

2001

American Journal of Hypertension

155

View full text Add to dashboard Cite

To better describe the phenomenon of white coat hypertension (WCH) in children, we reviewed our single-center experience using ambulatory blood pressure monitoring to determine: 1) how the choice of threshold limits for defining ambulatory hypertension affects the determination of WCH, and 2) whether the severity of casual hypertension predicts the occurrence of WCH. Using the same daytime ambulatory blood pressure (ABP) data from 71 children (age 11.9 Ϯ 3.4 years) with persistently elevated casual blood pressure (BP), the prevalence of WCH was compared using 95th percentile BP limits from the Task Force on High Blood Pressure in Children (TF) and from normative pediatric daytime ambulatory BP (ABP) data. To quantify casual hypertension severity, average clinic BP was divided by the patient-specific TF 95th percentile BP to generate a BP index (ie, BP index of 1.1 ϭ 10% above 95th percentile). The WCH prevalence was lower by normative ABP criteria than by TF criteria (31% v 59%, P Ͻ .001), but did not vary significantly by age, gender, race, or body mass index. Logistic regression showed that higher systolic BP index (P Ͻ .001) or diastolic BP index (P Ͻ .01) was associated with a lower probability of WCH. Specifically, as systolic BP index increased from 1.0 to 1.2, the estimated probability of WCH decreased from 87% to 15%, respectively. These data suggest that the use of the lower TF limits, derived solely from resting BP measurements, may overestimate WCH prevalence in ambulatory children. In addition, these data confirm in children the finding in adults that WCH is highly prevalent when casual hypertension is borderline or mild, but uncommon when moderate or severe. Am J Hypertens 2001;14:855-860

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of white coat hypertension in children: importance of the definitions of normal ambulatory blood pressure and the severity of casual hypertension

Sorof¹

2001

American Journal of Hypertension

155

View full text Add to dashboard Cite

show abstract

“…In women who are diagnosed as having hypertension irrespective of white-coat effects or not, it is important to find LV hypertrophy or PWV increases. Based on these data, Suzuki et al [ 55 ] evaluated arterial stiffness by using PWV in postmenopausal women who had blood pressure measurement both in an office setting and at home in conjunction with LV geometry [ 56 ]. Kuwajima et al [ 56 ] and Sokolow et al [ 57 ] observed that patients with no evidence of target organ damage had a greater difference between the clinic and home pressure measurements than patients with target organ damage.…”

Section: Role Of Pwv In Postmenopausal Women With White-coat Hypertenmentioning

confidence: 99%

“…Based on these data, Suzuki et al [ 55 ] evaluated arterial stiffness by using PWV in postmenopausal women who had blood pressure measurement both in an office setting and at home in conjunction with LV geometry [ 56 ]. Kuwajima et al [ 56 ] and Sokolow et al [ 57 ] observed that patients with no evidence of target organ damage had a greater difference between the clinic and home pressure measurements than patients with target organ damage. In agreement with previous findings, Suzuki et al [ 55 ] reported that the LV mass index was significantly associated with systolic blood pressure at home but not in the office, indicating that self-reported blood pressure measurements are useful for the management of blood pressure in hypertensive patients.…”

Section: Role Of Pwv In Postmenopausal Women With White-coat Hypertenmentioning

confidence: 99%

Pulse Wave Velocity in Postmenopausal Women

Suzuki

Kondo

2013

Pulse

View full text Add to dashboard Cite

Cardiovascular disease (CVD) and osteoporosis are major causes of morbidity and mortality in postmenopausal women. The relationship between atherosclerosis and osteoporosis has been established by studies of the underlying pathophysiological mechanisms and biochemical pathways that seem to overlap in many places. Pulse wave velocity (PWV) is one of the known predictors of cardiovascular and all-cause mortality. Studies indicate that PWV in hypertensive postmenopausal women is increased, and hormone replacement therapy (HRT) attenuates this increase. In addition, recently, many studies have suggested a role for arterial stiffness in the association between CVD and osteoporosis. From these findings, it appears that estrogen deficiency combined with production of inflammatory cytokines plays a role in increased PWV closely associated with CVD and osteoporosis, although the mechanisms of arterial stiffness in postmenopausal women may be more complex. Accordingly, a possible role for PWV as a surrogate marker of CVD as well as osteoporosis in postmenopausal women is discussed in this review. First, menopause leads to increased arterial stiffness with aging in females. Further, epidemiological data evaluating arterial stiffness assessed by PWV provided evidence that most of the established CVD risk factors are determinants of PWV, and these risk factors are increased in patients with CVD. In turn, contrary to expectation, HRT did not always contribute to a lower incidence of CVD in postmenopausal women. By reviewing the current data available, it becomes clear that, at present, the effects of menopause including HRT on PWV remain controversial, and further studies are needed to clarify these associations.

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

Diagnostic value of electrocardiography and echocardiography for white coat hypertension in the elderly

Cited by 18 publications

References 8 publications

Evaluation of white coat hypertension in children: importance of the definitions of normal ambulatory blood pressure and the severity of casual hypertension

Evaluation of white coat hypertension in children: importance of the definitions of normal ambulatory blood pressure and the severity of casual hypertension

Pulse Wave Velocity in Postmenopausal Women

"White coat hypertension" in type 2 diabetic patients

Contact Info

Product

Resources

About