Does masked hypertension exist in healthy volunteers and apparently well-controlled hypertensive patients?

Neth J Med. 2006 Mar;64(3):72-77.

Abstract

Background: Home blood pressure (HB P) measurement is considered to reflect BP during the day better than office BP (OB P). But in some patients HB P is higher than OB P. This is called masked hypertension (MH).

Objective: To examine whether MH occurs in healthy volunteers and apparently well-controlled hypertensives.

Methods: 57 treated hypertensive patients and 31 healthy volunteers (27/22 men) participated. Mean age (+/- SD ) was 61 +/- 13 and 29 +/- 13 years, respectively. Patients were instructed to measure their BP twice daily for three days (3 readings each) with the Omron 705 CP device after at least 10 minutes rest in a comfortable sitting position. In the outpatient department, OB P was measured four times, in duplicate, every ten minutes by the physician using the same device and under similar conditions.

Results: Mean HB P of the treated hypertensive group was 146/84 +/- 18/10 mmHg, significantly higher than OB P 136/79 +/- 19/10 (p.

MeSH terms

  • Adult
  • Blood Pressure Determination / standards*
  • Diagnostic Errors*
  • Female
  • Healthy Volunteers
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / drug therapy
  • Male
  • Middle Aged
  • Netherlands
  • Office Visits
  • Patients / statistics & numerical data
  • Pilot Projects
  • Self Care