title: [Decisions and therapeutic attitudes for patients with white coat hypertension].
abstract: OBJECTIVE
  To analyze the different therapeutic attitudes towards patients with arterial hypertension (AH) or white coat hypertension (WCH).
  
  
  METHODS
  Longitudinal, retrospective study after performing a 24 h ambulatory blood pressure monitoring of ABPM.
  
  
  METHODS
  Urban health center.
  
  
  METHODS
  Eighty-six patients aged over 15 years, not treated and with figures of a poor blood pressure control (> 140 and/or > 90 mmHg), followed for a mean of four years.
  
  
  METHODS
  Initial 24-h ABPM (SpaceLabs 90202-90207). DETERMINATIONS AND MAIN RESULTS: After ABPM 43 patients were classified as having WCH and 43 patients AH. Both groups were comparable. Pharmacologic treatment was begun from 41.9% (n = 18) of WCH and 88.4% (n = 38) of AH (p < 0.001) patients with a delay, after ABPM, of 19 months (SD 22) and 1.2 months (SD 3.2), respectively (p < 0.01). At the end of the follow-up period patients with AH had more target organs involved.
  
  
  CONCLUSIONS
  The information provided by ABPM probably entails a more conservative approach at the beginning of pharmacologic treatment.
authors.affiliation: Medicina de Familia, Centro de Atención Primaria Universitario La Mina, San Adrián del Besós, Barcelona.
authors.forename: E
authors.initials: E
authors.lastname: Vinyoles Bargalló
authors.forename: A
authors.initials: A
authors.lastname: Garaikoetxea Iturriria
authors.forename: M
authors.initials: M
authors.lastname: Ibernón López
authors.forename: S
authors.initials: S
authors.lastname: Sancho Muñoz
authors.forename: B
authors.initials: B
authors.lastname: Díaz de Sarralde
authors.forename: M
authors.initials: M
authors.lastname: de la Figuera von Wichmann
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D018660:Blood Pressure Monitoring, Ambulatory; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
chemical_list: D000959:Antihypertensive Agents