Predictors for the white coat effect in general practice patients with suspected and treated hypertension.

作者: Morten Lindbaek , Kai Ravnsborg-Gjertsen , Kåre Liodden , Endre Sandvik , Johnny Mjell

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摘要: BACKGROUND: Ambulatory blood pressure monitoring was introduced more than 40 years ago and is accepted as a clinically useful method to evaluate the white coat effect in patients with suspected established hypertension. AIM: To study differences between readings taken physician's office primary healthcare setting, ambulatory readings, find possible predictors. DESIGN OF STUDY: Prospective study. SETTING: Two centres Norway. METHOD: The included 221 patients, 107 of whom were on antihypertensive treatment, 114 under investigation for Differences calculated. Independent predictors calculated using linear regression analysis. RESULTS: difference 27 mmHg systolic 11 diastolic. For following factors independent amount effect: mean pressure, age, history smoking, family cardiovascular disease, treatment. diastolic they were: sex patient (with this being most significant women). CONCLUSION: measurement value identifying It can be an important supplement use diagnosis follow-up hypertension general practice.

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