Controversies in hypertension I: the Optimal Assessment of Blood Pressure Load and Implications for Treatment

The most important factor in treating hypertension is assessing an individual patient's true blood pressure load, the cornerstone being research-grade office determination. Office blood pressure should be supplemented with out-of-office measurement, including home and ambulatory monitoring (if available), which we consider complimentary and not interchangeable. Controversy remains for initiation of treatment of white-coat hypertension, where cardiovascular risk lies between normotension and sustained hypertension; antihypertensive therapy should be considered unless low cardiovascular risk, wherein pressures should be followed for progression to sustained hypertension.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Review Source Type: research