Gosse P, Bougaleb M, Egloff P, Lemetayer P, Clementy J
CHU Bordeaux, Saint André Hospital, France.
J Hypertens Suppl. 1994 Nov;12(8):S43-7.
DEFINITION AND PREVALENCE OF WHITE-COAT HYPERTENSION: White-coat hypertension describes the phenomenon of an abnormal blood pressure reading when taken by a physician and a normal reading with ambulatory or home monitoring. The results of studies suggest that the true prevalence of white-coat hypertension may be 20%. The magnitude of the effect using either the oscillometric or the auscultatory method of measurement appears to be comparable. PROGNOSTIC SIGNIFICANCE: The prognostic significance of the white-coat effect is not established, and prospective trials are needed to assess the risk. At present, because of the unpredictability and unreliability of this effect, we recommend that patients with white-coat hypertension should not be included in trials on the efficacy of antihypertensive drugs.
白大褂高血压描述的是由医生测量时血压读数异常，而动态或家庭监测时读数正常的现象。研究结果表明，白大褂高血压的真实患病率可能为20%。使用示波法或听诊法测量时，其影响程度似乎相当。预后意义：白大褂效应的预后意义尚未明确，需要进行前瞻性试验来评估风险。目前，由于这种效应的不可预测性和不可靠性，我们建议抗高血压药物疗效试验不应纳入白大褂高血压患者。
