[Decisions and therapeutic attitudes for patients with white coat hypertension]

Rev Clin Esp. 2001 Apr;201(4):174-8.
[Article in Spanish]


Objective: To analyze the different therapeutic attitudes towards patients with arterial hypertension (AH) or white coat hypertension (WCH).

Design: Longitudinal, retrospective study after performing a 24 h ambulatory blood pressure monitoring of ABPM.

Setting: Urban health center.

Patients: Eighty-six patients aged over 15 years, not treated and with figures of a poor blood pressure control (> 140 and/or > 90 mmHg), followed for a mean of four years.

Intervention: Initial 24-h ABPM (SpaceLabs 90202-90207). DETERMINATIONS AND MAIN RESULTS: After ABPM 43 patients were classified as having WCH and 43 patients AH. Both groups were comparable. Pharmacologic treatment was begun from 41.9% (n = 18) of WCH and 88.4% (n = 38) of AH (p < 0.001) patients with a delay, after ABPM, of 19 months (SD 22) and 1.2 months (SD 3.2), respectively (p < 0.01). At the end of the follow-up period patients with AH had more target organs involved.

Conclusions: The information provided by ABPM probably entails a more conservative approach at the beginning of pharmacologic treatment.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Antihypertensive Agents / therapeutic use
  • Blood Pressure Monitoring, Ambulatory*
  • Female
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / drug therapy
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Retrospective Studies


  • Antihypertensive Agents