Nielsen W B, Svendsen T L, Bang L E, Madsen N H, Høegholm A, Kristensen K S
Medicinsk afdeling, Centralsygehuset i Naestved.
Ugeskr Laeger. 1992 Nov 23;154(48):3399-402.
This review article examines the essential literature concerning "white coat" hypertension. It is stated that "white coat" hypertension is present in approximately 20% of patients with diagnosed mild to moderate hypertension. It is concluded that the pathophysiology of "white coat" hypertension is incompletely investigated; that the prognosis for untreated "white coat" hypertension seems fair; medical treatment being scarcely required. It is concluded further that more accurate diagnosis of mild to moderate hypertension, including the use of ambulatory blood pressure monitoring, will reduce the overall expenses by approximately million Danish crowns annually (approximately 2,000,000 pounds).
这篇综述文章审视了关于“白大衣”高血压的重要文献。文中指出,在已确诊的轻至中度高血压患者中,约20%存在“白大衣”高血压。结论是,“白大衣”高血压的病理生理学尚未得到充分研究;未经治疗的“白大衣”高血压预后似乎尚可,几乎无需药物治疗。进一步得出的结论是,对轻至中度高血压进行更准确的诊断,包括使用动态血压监测,每年将使总费用降低约1000万丹麦克朗(约200万英镑)。