White coat hypertension

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White coat hypertension

White coat hypertension, also known as isolated clinic hypertension (pronunciation: /ˈwaɪt koʊt ˌhaɪpərˈtɛnʃən/), is a phenomenon in which patients exhibit elevated blood pressure levels in a clinical setting but not in other settings. It is believed to be due to anxiety experienced during a clinic visit.

The term "white coat" comes from references to the white coats traditionally worn by doctors. The word "hypertension" is derived from the Greek words "hyper" meaning high and "tension" meaning pressure.

Definition

White coat hypertension is defined as a condition where a patient's blood pressure is high in a clinical or medical environment but is normal when measured in other settings, typically at home. This is often due to the anxiety or stress associated with visiting a healthcare provider.

Causes

The exact cause of white coat hypertension is not known. However, it is believed to be related to the anxiety or stress associated with visiting a healthcare provider. Other factors that may contribute to this condition include the patient's age, gender, and overall health status.

Diagnosis

Diagnosis of white coat hypertension is typically made by comparing blood pressure readings taken in a clinical setting with those taken at home using ambulatory blood pressure monitoring or home blood pressure monitoring devices.

Treatment

Treatment for white coat hypertension may not be necessary. However, if the condition is causing significant anxiety or if the patient has other risk factors for cardiovascular disease, treatment may be recommended. This can include lifestyle changes, such as diet and exercise, and in some cases, medication.

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