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Dr Sharda Jain
…Caring hearts, healing hands
Presentation Outline
• Epidemiology
• Definitions in Hypertension
• Types of Hypertension
• Evaluation of Secondary HTN
• Approach to Hypertension
• Ideal BP Measurement Technique
WHITE COAT
HYPERTENSION
a syndrome whereby a patient's
feeling of anxiety in a medical
environment results in an abnor-
mally high reading when their
blood pressure is measured.
Know the fact do no ignore
Isolated Systolic Hypertension
• Not distinguished as a separate entity as far as
management is concerned.
• SBP should be primarily considered during
treatment and not just diastolic BP.
• Systolic BP is more important cardiovascular risk
factor after age 50.
• Diastolic BP is more important before age 50.
1/4th adults have
Hypertension
Hypertension great Killer of
Premature deaths
• The largest proportion of NCD deaths is
caused by cardiovascular diseases (50%).
• Hypertension is reported to be the fourth
contributor to premature death in developed
countries and the seventh in developing
countries.
High Blood Pressure in India
Summary
• White coat HTN average prevalence is ~20% up to
35%.
• Major clinical relevance of white coat HTN: typically
associated with minimal to only slightly increased risk
of CVD & all-cause mortality risk.
• Do not forget :-
60% to 70% for detection as white coat HTN have true
hypertension & need monitoring & treatment
White Coat hypertension Why it is  Important? : Dr Sharda Jain

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White Coat hypertension Why it is Important? : Dr Sharda Jain

  • 1. Dr Sharda Jain …Caring hearts, healing hands
  • 2. Presentation Outline • Epidemiology • Definitions in Hypertension • Types of Hypertension • Evaluation of Secondary HTN • Approach to Hypertension • Ideal BP Measurement Technique
  • 3. WHITE COAT HYPERTENSION a syndrome whereby a patient's feeling of anxiety in a medical environment results in an abnor- mally high reading when their blood pressure is measured.
  • 4.
  • 5.
  • 6.
  • 7. Know the fact do no ignore
  • 8.
  • 9. Isolated Systolic Hypertension • Not distinguished as a separate entity as far as management is concerned. • SBP should be primarily considered during treatment and not just diastolic BP. • Systolic BP is more important cardiovascular risk factor after age 50. • Diastolic BP is more important before age 50.
  • 11. Hypertension great Killer of Premature deaths • The largest proportion of NCD deaths is caused by cardiovascular diseases (50%). • Hypertension is reported to be the fourth contributor to premature death in developed countries and the seventh in developing countries.
  • 13. Summary • White coat HTN average prevalence is ~20% up to 35%. • Major clinical relevance of white coat HTN: typically associated with minimal to only slightly increased risk of CVD & all-cause mortality risk. • Do not forget :- 60% to 70% for detection as white coat HTN have true hypertension & need monitoring & treatment