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By Serena Gordon
HealthDay Reporter
MONDAY, June 10, 2019 (HealthDay News) – If you're worried about seeing a doctor and your blood pressure still seems to be high in the doctor's office, a new notice says you need to take these high readings seriously.
The problem is called white coat hypertension (due to the traditional white coats of doctors) and may indicate an underlying problem.
Research has defined hypertension in white coats as high readings at the doctor's office, as well as normal blood pressure elsewhere. White-coated hypertensives were twice as likely to die of heart disease or stroke as people with normal blood pressure.
The odds of having a heart attack or stroke were also about a third higher for people suffering from white coat hypertension, according to the new review. Their risk of prematurely dying from any cause has also been increased by about a third compared to people without blood pressure problems.
"People with hypertension in white coats may not be followed regularly and may feel that nothing is going well," said Dr. Jordana Cohen, lead author of the book. She is an Assistant Professor at the Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Cohen said everyone should know their blood pressure outside of the doctor's office. High blood pressure, or high blood pressure, is defined as a higher reading of at least 130 or a lower value of 80. This disease affects nearly one-third of American adults, the researchers said.
"Know what your blood pressure is and what your goal is.Learn how to take your blood pressure to get a quality blood pressure reading.I think everyone should have a home monitor, even if his or her caregiver Health does not specifically recommend it., "she says.
The study was published on June 10 in the Annals of Internal Medicine.
In addition to the examination of white coat hypertension, the review also is interested in the white coat effect. It is at this time that high blood pressure in the office is treated with medication. The concern is that if the readings are only high in the doctor's office, the drugs for hypertension can cause the pressure to drop too low.
But researchers have found no significant link between the effect of white coat and heart disease and stroke, or deaths due to heart disease and stroke, or deaths due to cancer. any cause.
Continued
The review included 27 studies completed previously. These studies involved nearly 26,000 people with hypertension or white coat effects and more than 38,000 with normal blood pressure. The studies lasted between three and 19 years.
Dr. Daichi Shimbo wrote an editorial that appeared in the same issue of the journal. He recommended adding blood pressure readings outside the office to determine if a person was suffering from hypertension "white coat" or high blood pressure.
"This document was extremely important, and white hypertension may not be benign," he said.
"But if you have high blood pressure in the office, do not you want to know if the blood pressure out of the office is high or not?" If the number of people outside the office is high, it is safe. "Then acts of persistent hypertension." review did not examine sustained hypertension, "said Shimbo.
And, he said, the real concern is sustained high blood pressure. Shimbo added that people suffering from white coat hypertension who presented the greatest risk were those who also had other risk factors, such as an earlier heart disease or chronic kidney disease.
Dr. Traci Marquis-Eydman is an Associate Professor at the Netter School of Medicine at Quinnipiac University in Hamden, Connecticut. .
The journal discusses the approach to managing diabetes, she noted. "It's important to individualize patient treatment plans," said Marquis-Eydman.
"This study shows that it's important to monitor blood pressure in several settings," she explained.
The three experts stated that it was important to properly take blood pressure – in the office and out.
The American Heart Association recommends avoiding caffeine, tobacco products, and exercise for half an hour before taking your blood pressure.
Empty your bladder, then sit quietly for at least five minutes before reading. Sit with your back supported and your feet flat on the floor. Your arm should be resting on a table or other flat surface. Check the instructions on your monitor for proper placement of the cuff.
Cohen noted that your doctor might also prescribe "ambulatory monitoring". This means that you wear a blood pressure cuff that takes measurements throughout the day and night.
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