Relationship between white-coat hypertension and office isolated systolic or diastolic hypertension: an ambulatory blood pressure monitoring study.

Autor: Dal Pont CS; Department of Internal Medicine, School of Medical Sciences, State University of Campinas, Campinas, SP, Brazil., Argenta F; Department of Internal Medicine, School of Medical Sciences, State University of Campinas, Campinas, SP, Brazil., Bezerra R; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil.; Keizo Asami Institute, Federal University of Pernambuco, Recife, PE, Brazil., Viana GM; Miocuore Cardiologia, Criciúma, SC, Brazil., Starke S; Universidade Regional de Blumenau, Blumenau, SC, Brazil., Azevedo GSA; Clínica ECOMAX, Blumenau, SC, Brazil., Mota-Gomes MA; CESMAC University Center/Heart Hospital of Alagoas, Maceió, AL, Brazil., Barroso WS; Hypertension League, Cardiovascular Section, Medicine School, Federal University of Goiás, Goiânia, GO, Brazil., Miranda RD; Cardiovascular Section, Geriatrics Division, Paulista School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil., Barbosa ECD; Feevale University, Porto Alegre, RS, Brazil., Brandão AA; School of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil., Feitosa CLDM; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil., Gonçalves TAT; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil., Nobre F; Cardiology Division, Medicine School of Ribeirão Preto, São Paulo University, Ribeirão Preto, SP, Brazil., Mion D Jr; Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, SP, Brazil., Sposito AC; Department of Internal Medicine, School of Medical Sciences, State University of Campinas, Campinas, SP, Brazil., Feitosa ADM; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil., Nadruz W; Department of Internal Medicine, School of Medical Sciences, State University of Campinas, Campinas, SP, Brazil. wilnj@fcm.unicamp.br.
Jazyk: angličtina
Zdroj: Hypertension research : official journal of the Japanese Society of Hypertension [Hypertens Res] 2025 Jan; Vol. 48 (1), pp. 398-401. Date of Electronic Publication: 2024 Oct 29.
DOI: 10.1038/s41440-024-01973-4
Abstrakt: This study investigated the prevalence of white-coat hypertension (WCH) among individuals with office isolated systolic hypertension (ISH), isolated diastolic hypertension (IDH), and systolic-diastolic hypertension (SDH). We evaluated 9122 individuals [57.0 ± 14.5 years, 51% men] with office blood pressure ≥140/90 mmHg who underwent ambulatory blood pressure monitoring (ABPM) and were categorized into younger (<40-years), middle-aged (≥40 and <60-years) and older (≥60-years) groups. The prevalence of WCH in SDH, ISH, and IDH was 18, 61, and 37% in younger, 16, 55, and 29% in middle-aged, and 23, 51, and 40% in older individuals. Multivariable logistic regression analysis showed a higher likelihood of WCH in ISH (4.1, 3.6, and 2.1-fold all p < 0.001) and IDH (1.9, 1.5, and 1.5-fold; all p < 0.001) compared to SDH among younger, middle-aged and older individuals, respectively. These data indicate that ISH and, to a minor extent, IDH are linked to a higher prevalence of WCH derived from ABPM exams.
Competing Interests: Compliance with ethical standards. Conflict of interest: The authors declare no competing interests.
(© 2024. The Author(s), under exclusive licence to The Japanese Society of Hypertension.)
Databáze: MEDLINE
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