Signs of white coat hypertension?

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Ask
Hello doctor,
Can you tell me the signs of white coat hypertension? Thank you.
Anonymous customer
Answer
Answered by Master, Doctor Dao Kim Phuong - Department of Examination, Vinmec Times City International General Hospital.
Hi,
With the question “Signs of white coat hypertension? ”, the doctor would like to answer as follows:
A person with white coat hypertension syndrome when there is a sudden increase in blood pressure when seeing a doctor, people wearing a white coat at the hospital, when coming home Blood pressure then returned to normal. Specifically, when measuring blood pressure at the hospital, the patient's blood pressure may be greater than 140/90mmHg and when measuring blood pressure at home, this index returns to normal. Thus, blood pressure readings at the hospital and at home have no similarities.
This syndrome mainly comes from patient psychology. When seeing doctors or people wearing white blouses, patients are nervous, afraid, and nervous, causing the heart to beat faster, increasing pressure on the vessel walls, constricting blood vessels, causing an immediate increase in blood pressure.
If suffering from this syndrome, the patient should not be subjective because it is most likely a warning symptom of blood pressure diseases and increases the risk of cardiovascular diseases in the future.
For an accurate diagnosis, it is best to wear a 24-hour home blood pressure monitor for diagnosis. If not, the patient can measure their own blood pressure at home according to the standards, and bring the blood pressure monitor to the doctor for advice.
If you still have questions about white coat hypertension, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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