White coat effect and its clinical implications in the elderly.
The aim of this study was to investigate the frequency and correlated factors of white coat effect (WCE) in the elderly. Geriatric patients who were known as normotensive and office BP exceeding 140/90 mmHg underwent 24-hour ambulatory blood pressure monitoring (ABPM). Correlation of WCE with clinical parameters, geriatric assessment scales, co-existing diseases, and laboratory results were analyzed. Within 61 patients 72.1% were diagnosed as white coat hypertension (WCH). Independent correlates of systolic WCE were activities of daily living, instrumental activities of daily living scores, creatinine; independent correlate of diastolic WCE was Geriatric Depression Scale score. White coat hypertension constitutes a major part of office-detected hypertension in geriatric patients. Ambulatory blood pressure monitoring should be performed on geriatric patients with office-measured hypertension in order to avoid overtreatment.
Yavuz
Burcu Balam
BB
Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey. bbyavuz@hacettepe.edu.tr
Yavuz
Bunyamin
B
Tayfur
Oyku
O
Cankurtaran
Mustafa
M
Halil
Meltem
M
Ulger
Zekeriya
Z
Aytemir
Kudret
K
Kabakci
Giray
G
Oto
Ali
A
Ariogul
Servet
S
D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D001794:Blood Pressure / Q000502:physiology; D018660:Blood Pressure Monitoring, Ambulatory / Q000523:psychology; D002940:Circadian Rhythm / Q000502:physiology; D003430:Cross-Sectional Studies; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology*; D008297:Male; D009819:Office Visits; D015995:Prevalence; D013315:Stress, Psychological / Q000503:physiopathology
D000959:Antihypertensive Agents