White Coats and Blood Pressure

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White Coats and Blood Pressure

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by Valerie on September 7, 2010

Correct Diagnosis of High Blood Pressure

Blood pressure is actually a combination of 2 different pressures in your body: systolic and diastolic. One is the force of the blood being pumped out of the heart into your body. The other is the pressure in the vessels when the heart is relaxed. Blood pressure should be normally below 140 over 90, although some medical conditions such as diabetes may change the normal range.

High Blood Pressure Risk Factors

Complications can affect the eyes, kidneys and heart. There are many risk factors for high blood pressure. It is found in about half of people over the age of 60. Those who are obese, have kidney disease or are of certain ethnic backgrounds may also be at higher risk as well as those who excessively consume alcohol or caffeine.

White-coat Phenomenon

The white-coat phenomenon refers to patients who have high blood pressure only when in a medical office or clinic but who otherwise have normal blood pressures. Approximately 20 -30 percent of patients with high blood pressure reading are experiencing white coat phenomenon. Unless a patient is monitored by a medical professional, it is hard to know if it is truly white coat phenomenon or not.

Blood Pressure Diagnosis

Anyone with a high or borderline blood pressure reading should be monitored by their doctor who may recommend a 24 hour monitor to asses your blood pressure over the course of a day. A diagnosis of high blood pressure should be made within a month of the initial screening and should include more than one blood pressure reading. Even those with borderline blood pressure should seek treatment. Treatment usually consists of medication but exercise and lowering of salt intake can also help lower blood pressure. Reducing blood pressure lowers your risk of stroke and heart attack. Therefore, it is important not to ignore white coat phenomenon in case it leads to future blood pressure problems.”

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