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The Utility of Ambulatory Blood Pressure Monitoring for Diagnosing White Coat Hypertension in Older Adults.

Publication ,  Journal Article
Reynolds, K; Bowling, CB; Sim, JJ; Sridharan, L; Harrison, TN; Shimbo, D
Published in: Curr Hypertens Rep
November 2015

The beneficial effect of antihypertensive medication on reducing the risk of cardiovascular disease (CVD) events is supported by data from randomized controlled trials of older adults with hypertension. However, in clinical practice, overtreatment of hypertension in older adults may lead to side effects and an increased risk of falls. The diagnosis and treatment of hypertension is primarily based on blood pressure measurements obtained in the clinic setting. Ambulatory blood pressure monitoring (ABPM) complements clinic blood pressure by measuring blood pressure in the out-of-clinic setting. ABPM can be used to identify white coat hypertension, defined as elevated clinic blood pressure and non-elevated ambulatory blood pressure. White coat hypertension is common in older adults but does not appear to be associated with an increased risk of CVD events among this population. Herein, we review the current literature on ABPM in the diagnoses of white coat hypertension in older adults, including its potential role in preventing overtreatment.

Duke Scholars

Published In

Curr Hypertens Rep

DOI

EISSN

1534-3111

Publication Date

November 2015

Volume

17

Issue

11

Start / End Page

86

Location

United States

Related Subject Headings

  • White Coat Hypertension
  • Risk Factors
  • Humans
  • Cardiovascular Diseases
  • Blood Pressure Monitoring, Ambulatory
  • Blood Pressure
  • Antihypertensive Agents
  • Animals
  • Aged
  • 3214 Pharmacology and pharmaceutical sciences
 

Citation

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Reynolds, K., Bowling, C. B., Sim, J. J., Sridharan, L., Harrison, T. N., & Shimbo, D. (2015). The Utility of Ambulatory Blood Pressure Monitoring for Diagnosing White Coat Hypertension in Older Adults. Curr Hypertens Rep, 17(11), 86. https://doi.org/10.1007/s11906-015-0599-0
Reynolds, Kristi, C Barrett Bowling, John J. Sim, Lakshmi Sridharan, Teresa N. Harrison, and Daichi Shimbo. “The Utility of Ambulatory Blood Pressure Monitoring for Diagnosing White Coat Hypertension in Older Adults.Curr Hypertens Rep 17, no. 11 (November 2015): 86. https://doi.org/10.1007/s11906-015-0599-0.
Reynolds K, Bowling CB, Sim JJ, Sridharan L, Harrison TN, Shimbo D. The Utility of Ambulatory Blood Pressure Monitoring for Diagnosing White Coat Hypertension in Older Adults. Curr Hypertens Rep. 2015 Nov;17(11):86.
Reynolds, Kristi, et al. “The Utility of Ambulatory Blood Pressure Monitoring for Diagnosing White Coat Hypertension in Older Adults.Curr Hypertens Rep, vol. 17, no. 11, Nov. 2015, p. 86. Pubmed, doi:10.1007/s11906-015-0599-0.
Reynolds K, Bowling CB, Sim JJ, Sridharan L, Harrison TN, Shimbo D. The Utility of Ambulatory Blood Pressure Monitoring for Diagnosing White Coat Hypertension in Older Adults. Curr Hypertens Rep. 2015 Nov;17(11):86.
Journal cover image

Published In

Curr Hypertens Rep

DOI

EISSN

1534-3111

Publication Date

November 2015

Volume

17

Issue

11

Start / End Page

86

Location

United States

Related Subject Headings

  • White Coat Hypertension
  • Risk Factors
  • Humans
  • Cardiovascular Diseases
  • Blood Pressure Monitoring, Ambulatory
  • Blood Pressure
  • Antihypertensive Agents
  • Animals
  • Aged
  • 3214 Pharmacology and pharmaceutical sciences