Q: Can you have “white-coat” hypertension in reverse (high at home and low at the doctor’s office)?
A: This kind of situation is often referred to as masked hypertension. It is seen more commonly in people with other risks for heart disease such as obesity and high blood fats. Also, masked hypertension is more common in females. It is important to let your doctor know about your elevated readings. In addition, to insure accuracy, make sure you take your pressure about the same time of day and use proper positioning.
Further Reading:
Wolves in sheep’s clothing: Don’t ignore white-coat and masked hypertension – TheHeart.org
Masked hypertension poses hidden hazard – News-Medical.net
(7 votes, average: 3.43 out of 5)
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Reverse whitecoat hypertension…….I wish I could! LOL Whenever a health care provider takes my blood pressure it spikes!
Are you taking your blood pressure correctly? Mayo clinic protocol advises that you take it 3 times over a course of about 15 minutes with 5 minutes in between. Throw out the first number, and average the final two. Do this a few differetn times each day. Rest 5 to 10 minutes first, and take it properly, posture, positioning of the cuff, etc. Average those numbers over a course of a few weeks to see where your blood pressure really is on average over time. You may find that your at-home numbers are more in line than you think! If not, there are many ways to naturally address hypertension.
All the best to you!
what is consider the proper positioning for your arm to be in when taking a BP reading. At the doctor office they just let my arm hang down. I thought the cuff was to be a least a chest height?
I find things being done sloppily in my doctors office all the time. And if one says anything, one will be treated with disrespect
I agree with Karin Ho.
My PB has been taken over a long-sleeved shirt, right after sitting down, with the same cuff that he used on a patient before me whose arms were the size of my legs, after I’d been drinking water due to the long wait at the surgery, etc. etc. Then a nurse told me that there were different listening methods which may give different readings.
Makes you wonder what the real blood pressure really is.
BP is measured with a standard cuff. It does not really matter if the person on whom the cuff was applied is thin or stout and your reading does not get varied due to the previous reading. similarly, drinking water during the waiting time does not alter the blood pressure of a person. But the blood sugar in the first case needs (Fasting above 200) insulin. Analogues are now available and i have been successfully managing high blood sugars with insulin analogues. Simple blood pressure can be easily maintained with one drug, namely a beta blocker, preferably atenelol 50 mg once daily. Also with calcium channel blocker, Amlodepine 2.5 to 5 mg in divided dose is also found effective. if co present with DM, it is better to use medications other than atenelol. like ramipril with hydrochlor thiazide or amlodepine with hydrochlor thiazide.
follow what our friend carestia suggest. same time, same position, do the right thing as it said in the manual book. i use omron/with battery, and i tested also double checked with the doctor using sphygmo, the result is almost the same. cheers….
There must be some stimulus at home that spikes the blood pressure like if you are not in good terms with somebody in your house or the condition of the place where you live.