Academic Commons

Articles

Franz Volhard lecture: should doctors still measure blood pressure? The missing patients with masked hypertension

Pickering, Thomas G.; Gerin, William; Schwartz, Joseph E.; Spruill, Tanya M.; Davidson, Karina W.

The traditional reliance on blood pressure (BP) measurement in the medical setting misses a significant number of individuals with masked hypertension, who have normal clinic BP but persistently high daytime BP when measured out of the office. We suggest that masked hypertension may be a precursor of clinically recognized sustained hypertension and is associated with increased cardiovascular risk compared with consistent normotension. We discuss factors that may contribute to clinic–daytime BP differences as well as the changing relationship between these two measures over time. Anxiety at the time of BP measurement and having been diagnosed as hypertensive appear to be two possible mechanisms. The identification of individuals with masked hypertension is of great clinical importance and requires out-of-office BP screening. Ambulatory BP monitoring is the best established technique for doing this, but home monitoring may be applicable in the future.

Files

  • thumnail for Pickering_J_Hypertens_2008_PMC.pdf Pickering_J_Hypertens_2008_PMC.pdf application/pdf 748 KB Download File

Also Published In

Title
Journal of Hypertension
DOI
https://doi.org/10.1097/HJH.0b013e32831313c4

More About This Work

Academic Units
Center for Behavioral Cardiovascular Health
Publisher
Lippincott, Williams & Wilkins
Published Here
July 12, 2016
Academic Commons provides global access to research and scholarship produced at Columbia University, Barnard College, Teachers College, Union Theological Seminary and Jewish Theological Seminary. Academic Commons is managed by the Columbia University Libraries.