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Relationship between office isolated systolic or diastolic hypertension and white-coat hypertension across the age spectrum: A home blood pressure study

Journal of Hypertension Mar 11, 2020

Feitosa ADM, Mota-Gomes MA, Barroso WS, et al. - Researchers assessed the prevalence of white-coat hypertension (WCH) as well as white-coat uncontrolled hypertension (WUCH) during the age spectrum among people with office isolated systolic hypertension (ISH), isolated diastolic hypertension (IDH) and systolic–diastolic hypertension (SDH) who were not managed or managed with antihypertensive medications, respectively. From two independent Brazilian populations who had home blood pressure monitoring, a total of 8,809 untreated (42% males, 52.1 ± 16.2 years) and 9,136 treated (39% males, 59.7 ± 14.5 years) people were assessed cross-sectionally. Participants were grouped as: those of younger (< 40 years), intermediate (≥ 40 and < 60 years) and older (≥ 60 years) age. Across all age spectrum, a link of ISH and IDH with a higher prevalence of WCH and WUCH vs SDH was revealed. The observed risk of having WCH phenotypes was the highest among treated and untreated ISH people of age less than 60 years and treated IDH people of all ages.
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