Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online:69
Year : 2019  |  Volume : 7  |  Issue : 4  |  Page : 131-136

The study of prevalence and determinants of white-coat hypertension in medical personnel: A prospective study

1 Department of Cardiology, Government Medical College, Kozhikode, Kerala; Department of Medicine, King George Medical College, Lucknow, Uttar Pradesh, India
2 Department of Medicine, King George Medical College, Lucknow, Uttar Pradesh, India
3 Department of Anesthesia, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. Himanshu Gupta
Flat 1B, Sreerosh Apartments, Golf Link Road, Chevayur, Kozhikode - 673 017, Kerala
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/heartindia.heartindia_26_19

Rights and Permissions

Context: White-coat hypertension (WCH) has variable prevalence with prognostic significance, and ambulatory blood pressure monitoring (ABPM) is a reliable method for its identification. Assessment of WCH is necessary to prevent overtreatment. Aims: The objective was to study the prevalence and determinants of WCH in medical personnel. Settings and Design: A cross-sectional observational study was performed on young medical students. Duration was 23 months. Subjects and Methods: A total of 354 medical students were screened for hypertension, and those who were found hypertensive were then subjected to ABPM using CONTEC-06C monitor. Baseline characteristics were compared between white-coat hypertensive and true hypertensive groups. Hamilton Anxiety Rating Scale was used for anxiety assessment. Patients with target organ damage were excluded from the study. Statistical Analysis: Continuous groups were compared by independent Student's t-test, whereas categorical groups were compared using Chi-square test. P < 0.05 was considered as statistically significant. Results: Among 50 hypertensive patients on ABPM, the prevalence WCH was 66% and true hypertension was 34%. Mild anxiety (Hamilton anxiety rating score (HRS) <18) was found to be significantly high (54.5%) among WCH group, while severe anxiety (HRS 25–30) was associated with true hypertensive group (41.2%). A significantly high reverse dipping is found in hypertensive group patients as compared to WCH group (9.1% vs. 23.5%; P = 0.03). Overall, nondippers were found to be in highest percentage in the study. Conclusions: WCH is high in young population, especially among medical professionals. The prevalence of WCH is 66% which is significantly high as compared to the literature available. Reverse dipping on ABPM is strongly associated with true hypertension.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded218    
    Comments [Add]    

Recommend this journal