Utajone nadciśnienie tétnicze. Stan kliniczny czy bł̧ad pomiaru?

Translated title of the contribution: Masked hypertension. A clinical state or measurement bias?

Grzegorz Bilo, Marek Klocek, Katarzyna Stolarz, Kalina Kawecka-Jaszcz

Research output: Contribution to journalArticlepeer-review

Abstract

Masked hypertension refers to a situation in which a patient has normal blood pressure in the office but elevated elsewhere, for instance in ambulatory blood pressure monitoring (ABPM) or when measured at home. The problem of masked arterial hypertension (the term proposed by Pickering et al. in 2002) has been known for several years. The occurrence of masked hypertension, its causes, criteria of diagnosis and management are not well understood. This paper reviews possible causes of this phenomenon, ranging from methodological issues to specific circumstances that may increase blood pressure outside the office (for instance smoking, high-level physical activity). Furthermore, we review the terminology and criteria of diagnosing masked hypertension, and views on its pathogenesis and clinical implications. New evidence shows that this phenomenon cannot be overlooked. Among patients with masked hypertension those with target organ damage such as left ventricular hypertrophy or carotid arterial lesions are frequently encountered. To define the significance of masked hypertension in everyday clinical practice prospective studies are required.

Translated title of the contributionMasked hypertension. A clinical state or measurement bias?
Original languagePolish
Pages (from-to)385-396
Number of pages12
JournalNadcisnienie Tetnicze
Volume9
Issue number5
Publication statusPublished - 2005

Keywords

  • Criteria of diagnosis
  • Hypertension
  • Management
  • Masked hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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