What is White Coat Hypertension?

Hypertension is one of the most common diseases in the world and in our country. One in every three people in society has hypertension. However, only half of these patients in society are aware of their disease. He knows they have hypertension. In addition, only half of those with blood pressure disease receive blood pressure medication or treatment. The worst part is that only half of the patients taking medication have their blood pressure under control.

As for the causes of hypertension, we can list familial predisposition, obesity, diabetes, excessive salt consumption, stress and various medications. Age is one of the most important risk factors for hypertension. As age increases, the incidence of hypertension also increases. In addition to these, kidney diseases and some endocrinology disorders can also cause hypertension.

White coat hypertension and office hypertension are defined as white coat hypertension when blood pressure measurements at home are normal but blood pressure is high during controls at the hospital or doctor's office. It is called. Previously, this situation was not given much importance because it was a physiological condition. However, research conducted over the years has shown that people with white coat hypertension develop rapidly over the years with obvious elevations in blood pressure. In addition, it has been determined that early-stage atherosclerosis, that is, cardiovascular diseases, develops much more frequently and earlier in these patients. Therefore, in patients with white coat hypertension, this condition must first be detected by 24-hour blood pressure monitoring to detect this condition.

Patients with white coat hypertension should consider themselves as hypertension patients and should first restrict salt. Salt is used a lot in our society. Restricting not only the salt added to meals but also salt-containing foods has a very important place in blood pressure control in both white coat and normal hypertension patients. In addition, if there is obesity, efforts should be made to lose weight and medical treatment should be administered if necessary. Regular exercise also has an important place in blood pressure control.

In patients with white coat hypertension, if the above recommendations are not followed over time, overt hypertension develops rapidly. Him-her-it It should not be forgotten that the issue is important for this reason and close follow-up should be done by following the recommendations.

 

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