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'White Coat Effect' Linked to Hypertension Overtreatment Tue Jun 21, 2011 8:10 am
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'White Coat Effect' Linked to Hypertension Overtreatment


June 20, 2011 -- The so-called "white coat effect" is both real and common in the management of hypertension and it may be a significant cause of patient overtreatment, a new study finds.

Researchers from Duke University and the Durham VA Medical Center report that blood pressure readings taken in doctors' offices were consistently higher than those taken at home or in the research setting.

Doctors largely rely on one or two blood pressure readings taken in their offices to determine if patients need treatment for high blood pressure or if hypertension is adequately controlled in patients who are already on medication.

The researchers concluded that repeated measurements taken at home may help give a more accurate picture of blood pressure control than a single reading in a doctor's office.

Duke assistant professor of medicine Benjamin J. Powers, MD, who led the research team, says the finding lends credence to the notion that the stress of a medical exam can cause large elevations in blood pressure.

"Blood pressure normally fluctuates from hour to hour, and from day to day" he tells WebMD. "Even knowing this, we were surprised to see how big the differences were between clinic and home readings."

http://www.webmd.com/hypertension-high-blood-pressure/news/20110620/white-coat-effect-linked-to-hypertension-overtreatment?src=RSS_PUBLIC
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'White Coat Effect' Linked to Hypertension Overtreatment Tue Jun 21, 2011 8:10 am
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