Do we overlook ‘white coat hypertension’?

Sometime, to determine ‘clinical hypertension’ is a troublesome task for the physicians. It is said that atleast several consecutive measures should be taken to determine ‘clinical hypertension’ at both office and home. Home monitoring of blood pressure is differed from office monitoring, should be problematic one and to determine the final interpretation. Therefore, it is important to consider about ‘white coat hypertension’, revealing a rise in blood pressure at physician’s office or clinic. There should be certain mechanism; however, it is known that anxiety is responsible for the rise in blood pressure in the office, demonstrating ‘white coat hypertension’. Now, the question is to determine the fundamental measurement procedure to establish blood pressure measure among normal subjects and patients. It is known, the morbidity is higher among sustained hypertensive patients than white coat hypertensive patients; however, there is higher morbidity among the white coat hypertensive patients than clinically normotensive patients. So, it is necessary to consider this ‘white coat hypertension’ among normal population. Therefore, this suggests, home-monitoring of blood pressure is suitable to determine ‘clinical hypertension’ after considering different predisposing factors.