White Coat Uncontrolled Hypertension in Teleconsultation: A New and Frequent Entity

Introduction Cardiovascular risk seems not to be greater in patients with white coat uncontrolled hypertension (WUCH) than in patients with sustained blood pressure (BP) control. Therefore, its detection is important to avoid overtreatment. The COVID-19 pandemic determined a massive migration of hyp...

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Bibliographic Details
Published in:High blood pressure & cardiovascular prevention 2022-03, Vol.29 (2), p.155-161
Main Authors: Barochiner, Jessica, Marín, Marcos J., Janson, Jorge J., Conti, Patricia R., Martínez, Rocío, Micali, Gabriel, Conte, Isabel E., Plazzotta, Fernando
Format: Article
Language:English
Subjects:
Antihypertensives
Blood pressure
Body mass index
Cardiology
Cerebrovascular disease
Creatinine
Diabetes
Health care expenditures
Health risks
Hypertension
Medicine
Medicine & Public Health
Original
Original Article
Pandemics
Patients
Personal health
Pharmacotherapy
Standard deviation
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Summary:Introduction Cardiovascular risk seems not to be greater in patients with white coat uncontrolled hypertension (WUCH) than in patients with sustained blood pressure (BP) control. Therefore, its detection is important to avoid overtreatment. The COVID-19 pandemic determined a massive migration of hypertension consultations from the face-to-face modality to teleconsultations, and it is unknown whether WUCH exists in this context. Aim We aimed to evaluate the prevalence of WUCH through home BP monitoring (HBPM) in treated hypertensive patients evaluated by teleconsultation. Methods We included treated hypertensive patients that owned a digital BP monitor. During teleconsultation, patients were asked to perform two BP measurements and then a 7-day HBPM, using the same device. Patients were classified as having WUCH if BP was ≥ 140 and/or 90 mmHg in teleconsultation and
ISSN:1120-9879
1179-1985
DOI:10.1007/s40292-021-00498-y