Journal article
“White Coat” Versus “Sustained” Borderline Hypertension in Tecumseh, Michigan
Hypertension (Dallas, Tex. 1979), v 16(6), pp 617-623
Dec 1990
PMID: 2246029
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
During a survey of young subjects not receiving treatment for hypertension in Tecumseh, Michigan, clinic and self-monitored blood pressures taken at home (14 readings in 7 days) were obtained in 737 subjects (387 men, 350 women, average age 31.5 years). Hypertension in the clinic was diagnosed if the clinic blood pressure exceeded 140 mm Hg systolic or 90 mm Hg diastolic. In the absence of firm criteria for what constitutes hypertension at home, subjects whose average home blood pressure was in the upper decile of the whole population were considered to have hypertension at home. By these criteria, 7.1% of the whole population had “white coat” hypertension (i.e., high clinic but not elevated home readings). The prevalence of “sustained” hypertension (i.e., high readings in the clinic and at home) was 5.1%. Subjects with white coat and sustained borderline hypertension in Tecumseh were very similar. Both groups showed, at previous examinations (at ages 5, 8, 21, and 23 years), significantly higher blood pressure readings than the normotensive subjects. As young adults (average age 333 years), the parents of both hypertensive groups had significantly higher blood pressure readings than the parents of normotensive subjects. Both hypertensive groups had faster heart rates, higher systemic vascular resistance, and higher minimal forearm vascular resistance. Both hypertensive groups were more overweight, had higher plasma triglycerides, insulin, and insulin/glucose ratios than normotensive subjects. The white coat hypertensive group also had lower values of high density lipoprotein than the normotensive group. White coat hypertension is a frequent condition. In regards to excessive risk of hypertension (past blood pressures, parental blood pressures, weight, and heart rate), excessive risk for atherosclerosis (triglycerides and insulin), and hemodynamic parameters (vascular resistance and minimal forearm resistance), the white coat and sustained hypertensive groups are similarly different from the normotensive group. These findings do not support the accepted practice of using home blood pressure determination to distinguish groups of borderline hypertensive subjects with a lesser or greater clinical problem.
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Details
- Title
- “White Coat” Versus “Sustained” Borderline Hypertension in Tecumseh, Michigan
- Creators
- Stevo Julius - University of Michigan–Ann ArborAgnes Mejia - University of Michigan–Ann ArborKerin Jones - University of Michigan–Ann ArborLisa Krause - University of Michigan–Ann ArborNicholas Schork - University of Michigan–Ann ArborCosmas van de VenErnest Johnson - University of Michigan–Ann ArborJurij Petrin - University of Michigan–Ann ArborM Sekkarie - University of Michigan–Ann ArborSverre Kjeldsen - University of Michigan–Ann ArborRobert SchmouderRakesh GuptaJames FerraroPietro NazzaroJoel WeissfeldEbony A Johnson - Accelerated Career Entry Bachelor of Science in Nursing (BSN)
- Publication Details
- Hypertension (Dallas, Tex. 1979), v 16(6), pp 617-623
- Publisher
- American Heart Association, Inc
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Accelerated Career Entry Bachelor of Science in Nursing (BSN)
- Web of Science ID
- WOS:A1990EM59500004
- Scopus ID
- 2-s2.0-0025666434
- Other Identifier
- 991019184305504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Peripheral Vascular Disease