Waeber B, Burnier M, Heynen G, Brunner H R
Hypertension Division, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
J Cardiovasc Risk. 1994 Aug;1(2):120-6. doi: 10.1177/174182679400100203.
Blood pressure measured in the physician's office often differ considerably from those recorded during everyday activities away from the medical environment. This fact is particularly important in patients whose office blood pressures are only mildly elevated because, in a large proportion of these people, the elevation is observed only when blood pressures are measured in the physician's office and not when they are measured during normal activities. There is little evidence that this 'white-coat' hypertension is associated with increased cardiovascular risk, but patients with the condition are prone to develop sustained hypertension over time. It is therefore advisable to monitor these individual regularly so that antihypertensive therapy can be initiated when appropriate.
在医生办公室测量的血压往往与在远离医疗环境的日常活动中记录的血压有很大差异。这一事实对于那些诊室血压仅轻度升高的患者尤为重要，因为在这些人当中，很大一部分人只有在医生办公室测量血压时才会出现血压升高，而在正常活动期间测量时则不会。几乎没有证据表明这种“白大衣”高血压与心血管风险增加有关，但患有这种疾病的患者随着时间的推移容易发展为持续性高血压。因此，建议定期监测这些个体，以便在适当的时候启动抗高血压治疗。
