Hypertension and nephrology

[The importance of white-coat and masked hypertension: novelties]

ALFÖLDI Sándor1

APRIL 22, 2022

Hypertension and nephrology - 2022;26(02)

DOI: https://doi.org/10.33668/hn.26.011

[White-coat hypertension is a heterogenous clinical entity includes patients with lower and higher cardiovascular risk. It has a relative benign prognosis if it is not associated with other cardiovascular risk factors. It can increase, however, significantly the risk of new onset sustained hypertension and diabetes. The risk of cardiovascular events is unequivocally higher than that of normotensive patients, according to recent studies. Therefore, the proper evaluation of cardiovascular risk has utmost importance in white-coat hypertensive patients to determine the adequate treatment and follow-up. Masked hypertension, in the other hand, is not a benign phenotype, therefore regular screening with out-of office blood pressure measurements and pharmacological blood pressure lowering therapy is mandatory.]

AFFILIATIONS

  1. Dél-budai Centrumkórház, Szent Imre Egyetemi Oktatókórház, Anyagcsere Központ

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Hypertension and nephrology

[The importance of white-coat hypertension in adolescents]

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Lege Artis Medicinae

[White-coat and masked hypertension]

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[White-coat hypertension is a heterogenous clinical entity, that includes patients with lower and higher cardivascular risk. Its prognosis is relatively benign, when it is not associated with other cardiovascular risk factors. Therefore, cardiovascular risk evaluation has utmost importance in patients with white-coat hypertension for the determina­tion of appropriate treatment. Masked hy­per­tension, however, is not a benign pheno­type, as it has been proven. Its early recognition, regular follow-up and effective anti­hypertensive drug treatment are mandatory. ]

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