Prattichizzo F A, Galetta F
Unità Operativa di Medicina Interna, San Miniato (Pisa), Azienda USL 11, Empoli.
Minerva Cardioangiol. 1996 Nov;44(11):539-43.
In the past few years non-invasive ambulatory blood pressure monitoring has become a widespread technology in the assessment of arterial hypertension. The "white coat effect" concept derives from comparison between "clinic" and "ambulatory" blood pressure. It consists of two opposite conditions: clinic hypertension with ambulatory normotension (the so-called "white coat hypertension") and clinic normotension with ambulatory hypertension (the so-called "white coat normotension"). Nearly 20% of unselected referred populations shows conditions that may not need medical treatment, such as the "white coat hypertensives", or that may need antihypertensive therapy, such as the "white coat normotensives".
在过去几年中，无创动态血压监测已成为评估动脉高血压的一项广泛应用的技术。“白大衣效应”这一概念源于“诊室”血压与“动态”血压的比较。它包括两种相反的情况：诊室高血压而动态血压正常（即所谓的“白大衣高血压”）以及诊室血压正常而动态血压高血压（即所谓的“白大衣正常血压假象”）。在未经选择的转诊人群中，近20%的人表现出可能不需要药物治疗的情况，如“白大衣高血压患者”，或可能需要抗高血压治疗的情况，如“白大衣正常血压假象者”。
