masked hypertension
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Introduction
- normal office blood pressure; high ambulatory blood pressure
- normal office blood pressure; left ventricular hypertrophy[1]
* opposite of white-coat hypertension
- note BP goals for ambulatory blood pressure may differ from those of office blood pressure[1]*
- masked hypertension seems to have worse prognosis than sustained hypertension (both ambulatory & clinic-based hypertension)[3]
Diagnostic procedures
- electrocardiogram may reveal left ventricular hypertrophy (LVH)*
- echocardiogram may confirm LVH
Management
- initiate antihypertensive treatment if daytime ambulatory BP or home BP is elevated after 3 month trial of diet & lifestyle
- ACP/ACC/AHA BP goal < 130/80 mm Hg
More general terms
Additional terms
References
- ↑ 1.0 1.1 1.2 Medical Knowledge Self Assessment Program (MKSAP) 15, 17, 18, 19. American College of Physicians, Philadelphia 2009, 2015, 2018, 2021.
- ↑ Stergiou GS, Asayama K, Thijs L et al Prognosis of white-coat and masked hypertension: International Database of Home blood pressure in relation to Cardiovascular Outcome. Hypertension. 2014 Apr;63(4):675-82. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24420553 Free Article
- ↑ 3.0 3.1 Banegas JR, Ruilope LM, de la Sierra A et al Relationship between Clinic and Ambulatory Blood-Pressure Measurements and Mortality. N Engl J Med 2018; 378:1509-1520. April 19. 2018 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29669232 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMoa1712231