White Coat Hypertension in Centenarians

Abstract

Background: To study white coat (WC) hypertension in centenarians, a cross-sectional surveillance was carried out on Uygurs, a long-lived population in China.

What a High Prevalence of White Coat Hypertension in Society!

“…Again our MHT cases showed an equal sexual distribution. As a parallel finding to us, the prevalence of WCHT was found to be 5% between the ages of 65 and 70 years in another study (10) …”

ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly

“…444,445 White-coat hypertension, a term reserved for those not on antihypertensive medication but with persistently elevated office BP (Ͼ140/90 mm Hg) together with a normal daytime ambulatory BP (Ͻ135/85 mm Hg), is also more common in the elderly and is more frequent among centenarians. 446,447 Ambulatory BP monitoring is recommended to confirm a diagnosis of white-coat hypertension in patients with office hypertension but no organ damage. 22 …”

ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly

“…Elderly individuals tend to exhibit more white-coat effect (i.e., transient BP elevations when in a medical environment) than younger individuals (444,445). White-coat hypertension, a term reserved for those not on antihypertensive medication but with persistently elevated office BP (Ͼ140/90 mm Hg) together with a normal daytime ambulatory BP (Ͻ135/85 mm Hg), is also more common in the elderly and is more frequent among centenarians (446,447). Ambulatory BP monitoring is recommended to confirm a diagnosis of white-coat hypertension in patients with office hypertension but no organ damage (22).…”