White coat hypertension is associated with risk of left ventricular hypertrophy

White coat hypertension is associated with risk of left ventricular hypertrophy

Muscholl et al (p 565) studied left ventricular structure and function in a large population based cohort. They found a significantincrease in left ventricular wall thickness and mass in subjectswith white coat hypertension. The risk of left ventricular hypertrophywas greater in subjects with white coat hypertension than thosewith normtension. Systolic function assessed by M mode echocardiographyshowed values above normal in subjects with white coat hypertensionwhereas diastolic filling was no different from normotensive subjectsafter adjustment for confounders. Thus, they argue, the risk fromwhite coat hypertension should not bedisregarded.

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Changes in left ventricular structure and function in patients with white coat hypertension: cross sectional survey: Michael W Muscholl, Hans-W Hense, Ulrich Bröckel, Angela Döring, Günter A J Riegger, and Heribert Schunkert
BMJ 1998 317: 565-570. [Abstract] [Full Text] [PDF]