Document Detail


White coat effect and its clinical implications in the elderly.
MedLine Citation:
PMID:  19811359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Burcu Balam Yavuz; Bunyamin Yavuz; Oyku Tayfur; Mustafa Cankurtaran; Meltem Halil; Zekeriya Ulger; Kudret Aytemir; Giray Kabakci; Ali Oto; Servet Ariogul
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical and experimental hypertension (New York, N.Y. : 1993)     Volume:  31     ISSN:  1525-6006     ISO Abbreviation:  Clin. Exp. Hypertens.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-10-08     Completed Date:  2010-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9305929     Medline TA:  Clin Exp Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  306-15     Citation Subset:  IM    
Affiliation:
Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey. bbyavuz@hacettepe.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Aged
Antihypertensive Agents / administration & dosage*,  therapeutic use
Blood Pressure / physiology
Blood Pressure Monitoring, Ambulatory / psychology
Circadian Rhythm / physiology
Cross-Sectional Studies
Diagnosis, Differential
Dose-Response Relationship, Drug
Female
Geriatric Assessment*
Humans
Hypertension / diagnosis*,  drug therapy,  psychology*
Male
Office Visits*
Prevalence
Stress, Psychological / physiopathology
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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