White Coat Hypertension
White Coat Hypertension
High Blood Pressure readings at the clinic or hospital may not necessarily mean you have hypertension. What is White Coat Hypertension? Watch the video to find out more. #HearttoHeartwithDrYee #WhiteCoatHypertension #Hypertension
Content
12.16 -> White coat hypertension is basically high
blood pressure readings when somebody comes to see the doctor in the clinic setting.
18.83 -> Now, white coat hypertension may not mean that the patient has true hypertension.
23.453 -> It may be induced by anxiety, or it may be induced by stress.
26.8 -> When the patients come to the hospital setting, they see the doctor for the first time the blood pressure is high.
31.796 -> But when they check the blood pressure at home the blood pressure may be normal.
36.086 -> I think it's important to make this distinction
because these are patients who do not have high blood pressure.
41.089 -> They only have high blood pressure
in the clinic setting.
43.394 -> Hence, if they are given medications for white coat hypertension then sometimes when they go back and take these medications
50.24 -> they might end up feeling dizzy because their
blood pressure gets too low at home.
53.76 -> Therefore, i think it's important to identify whether they really have true hypertension or whether it's white coat hypertension.
59.083 -> That is why we never diagnose hypertension based on a single high blood pressure reading.
63.358 -> Hypertension is diagnosed once we have taken three or more readings of high blood pressure measurements done at different time points.
70.815 -> When the blood pressure reading is high in the clinic setting, I would often advise my patient to monitor his or her blood pressure at home as well.
77.501 -> If the serial readings are consistently high at home then we can diagnose the patient as being hypertensive.
83.586 -> On the other hand, if the blood pressure readings are labile, sometimes high,
sometimes low and there's a great uncertainty as to whether the patient has true hypertension, .....
92.097 -> ...we have a device called a 24-hour ambulatory blood pressure monitor which may be useful to help us gauge whether the patient is truly hypertensive.
99.92 -> This is a device that is worn by the patient
either at the wrist or the arm and records the blood pressure readings continuously over a24 hour period
108.046 -> giving us a more accurate picture as to how that patient's blood pressure is behaving over the course of the day.
113.845 -> If the blood pressure reading is high in the clinic setting but the 24 hour blood pressure monitor gives us a normal blood pressure pattern over the 24 hour period, .....
122.721 -> .... it means the patient does not have hypertension and the high blood pressure readings in the clinic is due to white coat hypertension.
128.873 -> Thank you for watching.
130.442 -> I hope you liked the video.
132.481 -> If you do, please don't forget to like, share and comment.
136.76 -> Thank you!
Source: https://www.youtube.com/watch?v=9-y_l4lf5tY