White-Coat Hypertension

Key messages

  • The magnitude of the white-coat effect (WCE - continuous variable) and the prevalence of white-coat hypertension (WCH - categorical variable) increases with age.
  • "True" WCH does not carry any risk.
  • Only if WCH is associates with other CV risk factor, patient might have a higher risk, which is unrelated to the office BP level; therefore no need to treat BP, but do manage risk factors!
  • FU remains necessary, because of the long-term risk of developping sustained HT.

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