Effect of long-term antihypertensive treatment on white-coat hypertension

Giuseppe Mancia, Rita Facchetti, Gianfranco Parati, Alberto Zanchetti

Research output: Contribution to journalArticle

Abstract

Limited evidence is available on the extent and frequency by which antihypertensive treatment lowers office blood pressure (BP) in white-coat hypertension (WCH). Data are even more scanty and discrepant on the corresponding effect on ambulatory BP (ABP). In the hypertensive patients of the European Lacidipine Study on Atherosclerosis (ELSA), office and ABP were measured before treatment and at 6-month (office BP) or 12-month (ABP) intervals during the 4-year administration of calcium channel blocker-based or β-blocker-based treatment. The two groups were pooled and data were analyzed separately in patients with both office and ABP elevation (n=1670; sustained hypertension) or WCH (n=251; office BP elevation only). In sustained hypertension, office and 24-hour mean systolic BP were both markedly reduced through the treatment period, the mean change being -20.0±12.5 and -10.1±11.0 mm Hg, respectively (P

Original languageEnglish
Pages (from-to)1388-1398
Number of pages11
JournalHypertension
Volume64
Issue number6
DOIs
Publication statusPublished - 2014

Keywords

  • Ambulatory blood pressure monitoring
  • Antihypertensive agents
  • Hypertension

ASJC Scopus subject areas

  • Internal Medicine
  • Medicine(all)

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