masked hypertension
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Introduction
- < 130/80 office BP, >= 125 mm Hg ambulatory BP or > 130/80 home BP
- normal office blood pressure; left ventricular hypertrophy[1]
* opposite of white-coat hypertension
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
Notes
- 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]
- it is noted that the ambulatory blood pressure may actually be lower than the in-office blood pressure
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.
Medical Knowledge Self Assessment Program (MKSAP) 20 American College of Physicians, Philadelphia 2025 - ↑ 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://pubmed.ncbi.nlm.nih.gov/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://pubmed.ncbi.nlm.nih.gov/29669232 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMoa1712231