White Coat Hypertension: An Unresolved Diagnostic and Therapeutic Problem

by Giuseppe Mancia, Guido Grassi, Gianfranco Parati, Alberto Zanchetti

Overview

This book addresses all aspects of white coat hypertension – the phenomenon of raised blood pressure in a medical setting yet not elsewhere – from its history to its pathophysiology, diagnosis and treatment. White coat hypertension is a common condition, accounting for 30–40% of the overall hypertensive population. While many studies have addressed this condition, controversy still exists over whether it causes an increased risk to sufferers and should be treated.

In the volume neurogenic and non-neurogenic mechanisms are discussed and the significance of various predictive factors, evaluated. The association of white coat hypertension with dysmetabolic risk factors, new-onset diabetes and other conditions is carefully reviewed. Further chapters consider the occurrence of asymptomatic organ damage and cardiovascular outcomes in affected patients and helpful guidance is also provided on the controversial issue of when to treat and when not to treat. White Coat Hypertension is based largely on work done during the past 30 years by renowned researchers working in Milan, who have made key contributions in improving knowledge of the condition and whose work is well known across the world.

Product Details

ISBN-13:	9783319348162
Publisher:	Springer International Publishing
Publication date:	12/14/2014
Edition description:	Softcover reprint of the original 1st ed. 2015
Pages:	147
Product dimensions:	6.10(w) x 9.25(h) x (d)

Table of Contents

1 Historical Notes.- 2 Definition, Terminology and Prevalence.- 3 Diagnostic Approach to white coat effect and white coat hypertension.- 4 Neurogenic and Non-neurogenic Mechanisms.- 5 Predictive Factors.- 6 White coat hypertension and cardiovascular morbidity and mortality.- 7 White coat hypertension and Target Organ Damage.- 8 White Coat Hypertension, metabolic risk factors, and cardiovascular risk profile.- 9 To Treat or Not To Treat?.

Editorial Reviews

Reviewer: Bruce Wilson, MD, MSPH (Ochsner Clinic Foundation)
Description: This is a thorough, up-to-date review of a common clinical dilemma in primary care and cardiology offices.
Purpose: The purpose is to review the evidence on white coat hypertension.
Audience: This book will be valuable for medical practitioners in internal medicine and cardiology from nurses, to midlevels, to physicians-in-training and attendings.
Features: The authors systematically take readers through the epidemiology, diagnostic criteria, pathophysiology, risk factors, and treatment options for patients with white coat hypertension. They do an excellent job of summarizing the current evidence and each chapter has clear references from pertinent pivotal studies.
Assessment: This will be a valuable book for those caring for patients in the outpatient setting.

Doody's Review Service

This is a thorough, up-to-date review of a common clinical dilemma in primary care and cardiology offices. … This book will be valuable for medical practitioners in internal medicine and cardiology from nurses, to midlevels, to physicians-in-training and attendings. … This will be a valuable book for those caring for patients in the outpatient setting.” (Bruce Wilson, Doody's Book Reviews, August, 2015)

From the Publisher