Prevalence of white coat effect in treated hypertensive patients in the community
Patients receiving drug therapy for hypertension in the tertiary care setting frequently exhibit higher office readings compared to ambulatory blood pressure values (white coat effect). In this study, the prevalence of a white coat effect was determined in an unselected population of 147 hypertensiv...
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| Veröffentlicht in: | American journal of hypertension 1995-06, Vol.8 (6), p.591-597 |
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| container_title | American journal of hypertension |
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| creator | Myers, Martin G. Oh, Paul I. Reeves, Richard A. Joyner, Campbell D. |
| description | Patients receiving drug therapy for hypertension in the tertiary care setting frequently exhibit higher office readings compared to ambulatory blood pressure values (white coat effect). In this study, the prevalence of a white coat effect was determined in an unselected population of 147 hypertensive patients receiving treatment from their family physicians in the community. The proportion of patients with a white coat effect (defined as office — ambulatory blood pressure ≥20/10 mm Hg) was significantly (
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| doi_str_mv | 10.1016/0895-7061(95)00049-U |
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P <.001) higher when based upon the family physician's routine blood pressure readings (91/147), compared to special readings taken by the family physician for the study (54/147) or readings taken by a research nurse (30/147). There was a higher correlation (
P < .05) between the ambulatory systolic blood pressure and the nurse's readings (r = 0.62) or special physician's readings (r = 0.55)
v the routine physician's readings (r = 0.34). Left ventricular mass index as measured by echocardiography correlated (
P <.01) with the special physician (r = 0.27), nurse (r = 0.23), and ambulatory systolic blood pressure readings (r = 0.24), but not with the routine physician's readings (r = 0.06). A white coat effect is frequently present in treated hypertensive patients when blood pressure is recorded by family physicians in routine clinical practice.</description><identifier>ISSN: 0895-7061</identifier><identifier>EISSN: 1879-1905</identifier><identifier>EISSN: 1941-7225</identifier><identifier>DOI: 10.1016/0895-7061(95)00049-U</identifier><identifier>PMID: 7662244</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure Determination ; blood pressure measurement ; Blood Pressure Monitoring, Ambulatory ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Community Health Services ; Echocardiography ; Female ; Humans ; Hypertension - physiopathology ; Hypertension - psychology ; Hypertrophy, Left Ventricular - diagnostic imaging ; Male ; Medical sciences ; Middle Aged ; Physician-Patient Relations ; Urban Population ; White coat hypertension</subject><ispartof>American journal of hypertension, 1995-06, Vol.8 (6), p.591-597</ispartof><rights>1995 American Journal of Hypertension, Ltd.</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-a54ce92de0eb70a2b33b6a0fa3cf4722501e90f68f1291d3895b9c4af31c19e13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3543231$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7662244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Myers, Martin G.</creatorcontrib><creatorcontrib>Oh, Paul I.</creatorcontrib><creatorcontrib>Reeves, Richard A.</creatorcontrib><creatorcontrib>Joyner, Campbell D.</creatorcontrib><title>Prevalence of white coat effect in treated hypertensive patients in the community</title><title>American journal of hypertension</title><addtitle>AJH</addtitle><description>Patients receiving drug therapy for hypertension in the tertiary care setting frequently exhibit higher office readings compared to ambulatory blood pressure values (white coat effect). In this study, the prevalence of a white coat effect was determined in an unselected population of 147 hypertensive patients receiving treatment from their family physicians in the community. The proportion of patients with a white coat effect (defined as office — ambulatory blood pressure ≥20/10 mm Hg) was significantly (
P <.001) higher when based upon the family physician's routine blood pressure readings (91/147), compared to special readings taken by the family physician for the study (54/147) or readings taken by a research nurse (30/147). There was a higher correlation (
P < .05) between the ambulatory systolic blood pressure and the nurse's readings (r = 0.62) or special physician's readings (r = 0.55)
v the routine physician's readings (r = 0.34). Left ventricular mass index as measured by echocardiography correlated (
P <.01) with the special physician (r = 0.27), nurse (r = 0.23), and ambulatory systolic blood pressure readings (r = 0.24), but not with the routine physician's readings (r = 0.06). A white coat effect is frequently present in treated hypertensive patients when blood pressure is recorded by family physicians in routine clinical practice.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure Determination</subject><subject>blood pressure measurement</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Community Health Services</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - physiopathology</subject><subject>Hypertension - psychology</subject><subject>Hypertrophy, Left Ventricular - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Physician-Patient Relations</subject><subject>Urban Population</subject><subject>White coat hypertension</subject><issn>0895-7061</issn><issn>1879-1905</issn><issn>1941-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtP4zAUhS00CMrjH8xIWSAEi4AdO3a9QUK8JRAPUQbNxnKca9WQR7HdQv89Ca26nNVdnO8c-56L0G-Cjwgm_BgPZZ4KzMmBzA8xxkymozU0IEMhUyJx_gsNVsgm2grhrYc4JxtoQ3CeZYwN0OODh5muoDGQtDb5HLsIiWl1TMBaMDFxTRI96AhlMp5PwEdogptBMtHRQRPDDzDuPXU9bVyc76B1q6sAu8u5jUaXF89n1-nt_dXN2eltapjEMdU5MyCzEjAUAuusoLTgGltNjWUiy3JMQGLLh5ZkkpS026SQhmlLiSESCN1G-4vciW8_phCiql0wUFW6gXYalBBdRM56kC1A49sQPFg18a7Wfq4IVn2Tqq9J9TWpbv40qUad7c8yf1rUUK5My-o6fW-p62B0Zb1ujAsrjOaMZrR_PV1gLkT4WsnavysuqMjV9es_9fTwgv8-n9-p144_WfDQdTdz4FUwrj9P6Xx3D1W27v___gZwvp9H</recordid><startdate>19950601</startdate><enddate>19950601</enddate><creator>Myers, Martin G.</creator><creator>Oh, Paul I.</creator><creator>Reeves, Richard A.</creator><creator>Joyner, Campbell D.</creator><general>Elsevier Inc</general><general>Oxford University Press</general><general>Elsevier Science</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950601</creationdate><title>Prevalence of white coat effect in treated hypertensive patients in the community</title><author>Myers, Martin G. ; Oh, Paul I. ; Reeves, Richard A. ; Joyner, Campbell D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-a54ce92de0eb70a2b33b6a0fa3cf4722501e90f68f1291d3895b9c4af31c19e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure Determination</topic><topic>blood pressure measurement</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Cardiology. Vascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Community Health Services</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - physiopathology</topic><topic>Hypertension - psychology</topic><topic>Hypertrophy, Left Ventricular - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Physician-Patient Relations</topic><topic>Urban Population</topic><topic>White coat hypertension</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Myers, Martin G.</creatorcontrib><creatorcontrib>Oh, Paul I.</creatorcontrib><creatorcontrib>Reeves, Richard A.</creatorcontrib><creatorcontrib>Joyner, Campbell D.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Myers, Martin G.</au><au>Oh, Paul I.</au><au>Reeves, Richard A.</au><au>Joyner, Campbell D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of white coat effect in treated hypertensive patients in the community</atitle><jtitle>American journal of hypertension</jtitle><addtitle>AJH</addtitle><date>1995-06-01</date><risdate>1995</risdate><volume>8</volume><issue>6</issue><spage>591</spage><epage>597</epage><pages>591-597</pages><issn>0895-7061</issn><eissn>1879-1905</eissn><eissn>1941-7225</eissn><abstract>Patients receiving drug therapy for hypertension in the tertiary care setting frequently exhibit higher office readings compared to ambulatory blood pressure values (white coat effect). In this study, the prevalence of a white coat effect was determined in an unselected population of 147 hypertensive patients receiving treatment from their family physicians in the community. The proportion of patients with a white coat effect (defined as office — ambulatory blood pressure ≥20/10 mm Hg) was significantly (
P <.001) higher when based upon the family physician's routine blood pressure readings (91/147), compared to special readings taken by the family physician for the study (54/147) or readings taken by a research nurse (30/147). There was a higher correlation (
P < .05) between the ambulatory systolic blood pressure and the nurse's readings (r = 0.62) or special physician's readings (r = 0.55)
v the routine physician's readings (r = 0.34). Left ventricular mass index as measured by echocardiography correlated (
P <.01) with the special physician (r = 0.27), nurse (r = 0.23), and ambulatory systolic blood pressure readings (r = 0.24), but not with the routine physician's readings (r = 0.06). A white coat effect is frequently present in treated hypertensive patients when blood pressure is recorded by family physicians in routine clinical practice.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>7662244</pmid><doi>10.1016/0895-7061(95)00049-U</doi><tpages>7</tpages></addata></record> |
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| ispartof | American journal of hypertension, 1995-06, Vol.8 (6), p.591-597 |
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| source | MEDLINE; Alma/SFX Local Collection; Oxford University Press Journals Digital Archive Legacy |
| subjects | Adult Aged Aged, 80 and over Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood Pressure Determination blood pressure measurement Blood Pressure Monitoring, Ambulatory Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Community Health Services Echocardiography Female Humans Hypertension - physiopathology Hypertension - psychology Hypertrophy, Left Ventricular - diagnostic imaging Male Medical sciences Middle Aged Physician-Patient Relations Urban Population White coat hypertension |
| title | Prevalence of white coat effect in treated hypertensive patients in the community |
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