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White-Coat Hypertension

High risk or harmless to the heart?

Researchers debate whether patients who experience a transient surge in blood pressure during a medical exam are candidates for later heart problems and strokes.

 

References:

Khattar, R.S., R. Senior, and A. Lahiri. 1998. Cardiovascular outcome in white-coat versus sustained mild hypertension. Circulation 98(Nov. 3):1892.

Muscholl, M.W. . . . and H. Schunkert. 1998. Changes in left ventricular structure and function in patients with white coat hypertension: Cross sectional survey. British Medical Journal 317(Aug. 29):565.

 

Further Readings:

Cavallini, M.C. . . . T.G. Pickering, et al. 1995 Is white coat hypertension associated with arterial disease or left ventricular hypertrophy? Hypertension 26(Sept. 26):413.

Glen, S.K., et al. 1996. White-coat hypertension as a cause of cardiovascular dysfunction. Lancet 348(Sept. 7):654.

Julius, S., et al. 1990. "White coat" versus "sustained" borderline hypertension in Tecumseh, Michigan. Hypertension 16(Dec. 16):617.

Sources:

Stephen K. Glen
Western General Hospital
Department of Cardiology
Crewe Road
Edinburgh EH4 2XU
United Kingdom

Stevo Julius
University of Michigan Medical Center
Department of Internal Medicine
Division of Hypertension
3918 Taubman Center
Ann Arbor, MI 48109-0356

Avijit Lahiri
Northwick Park Hospital
Department of Cardiovascular Medicine
Watford Rd, Harrow
Middlesex HA1 3UJ
United Kingdom

Thomas G. Pickering
New York Hospital-Cornell Medical Center
Department of Medicine
525 East 68th Street
New York, NY 10021

Heribert Schunkert
University of Regensburg
Klinik und Poliklinik fur Innere Medizen II
D-93042 Regensburg
Germany

From Science News, Vol. 154, No. 24, December 12, 1998, p. 380.
Copyright Ó 1998 by Science Service.

 

 

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