White-coat hypertension and normotension in the League of Hypertension of the Hospital das Clínicas, FMUSP: prevalence, clinical and demographic characteristics.
OBJECTIVE
To assess the prevalence of white-coat normortension, white-coat hypertension, and white-coat effect.


METHODS
We assessed 670 medical records of patients from the League of Hypertension of the Hospital das Clínicas of the Medical School of the University of S o Paulo. White-coat hypertension (blood pressure at the medical office: mean of 3 measurements with the oscillometric device > or = 140 or > or = 90 mmHg, or both, and ambulatory blood pressure monitoring mean during wakefulness < 135/85) and white-coat normotension (office blood pressure < 140/90 and blood pressure during wakefulness on ambulatory blood pressure monitoring > or = 135/85) were analyzed in 183 patients taking no medication. The white-coat effect (difference between office and ambulatory blood pressure > 20 mmHg for systolic and 10 mmHg for diastolic) was analyzed in 487 patients on treatment, 374 of whom underwent multivariate analysis to identify the variables that better explain the white-coat effect.


RESULTS
Prevalence of white-coat normotension was 12%, prevalence of white-coat hypertension was 20%, and prevalence of the white-coat effect was 27%. A significant correlation (p<0.05) was observed between white-coat hypertension and familial history of hypertension, and between the white-coat effect and sex, severity of the office diastolic blood pressure, and thickness of left ventricular posterior wall.


CONCLUSIONS
White-coat hypertension, white-coat normotension, and white-coat effect should be considered in the diagnosis of hypertension.
Segre
Carlos A
CA
Hospital das Clínicas - FMUSP e Escola Enfermagem da USP, São Paulo, Brasil.
Ueno
Rubens K
RK
Warde
Karim R J
KR
Accorsi
Tarso A D
TA
Miname
Márcio H
MH
Chi
Chang K
CK
Pierin
Angela M G
AM
Mion Júnior
Décimo
D
D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000379:methods; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009819:Office Visits; D015995:Prevalence; D012189:Retrospective Studies