Heart India

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 7  |  Issue : 4  |  Page : 131--136

The study of prevalence and determinants of white-coat hypertension in medical personnel: A prospective study


Himanshu Gupta1, Sanjay Mehrotra3, Ayushi Gupta2 
1 Department of Cardiology, Government Medical College, Kozhikode, Kerala; Department of Medicine, King George Medical College, Lucknow, Uttar Pradesh, India
2 Department of Anesthesia, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. Himanshu Gupta
Flat 1B, Sreerosh Apartments, Golf Link Road, Chevayur, Kozhikode - 673 017, Kerala
India

Context: White-coat hypertension (WCH) has variable prevalence with prognostic significance, and ambulatory blood pressure monitoring (ABPM) is a reliable method for its identification. Assessment of WCH is necessary to prevent overtreatment. Aims: The objective was to study the prevalence and determinants of WCH in medical personnel. Settings and Design: A cross-sectional observational study was performed on young medical students. Duration was 23 months. Subjects and Methods: A total of 354 medical students were screened for hypertension, and those who were found hypertensive were then subjected to ABPM using CONTEC-06C monitor. Baseline characteristics were compared between white-coat hypertensive and true hypertensive groups. Hamilton Anxiety Rating Scale was used for anxiety assessment. Patients with target organ damage were excluded from the study. Statistical Analysis: Continuous groups were compared by independent Student's t-test, whereas categorical groups were compared using Chi-square test. P < 0.05 was considered as statistically significant. Results: Among 50 hypertensive patients on ABPM, the prevalence WCH was 66% and true hypertension was 34%. Mild anxiety (Hamilton anxiety rating score (HRS) <18) was found to be significantly high (54.5%) among WCH group, while severe anxiety (HRS 25–30) was associated with true hypertensive group (41.2%). A significantly high reverse dipping is found in hypertensive group patients as compared to WCH group (9.1% vs. 23.5%; P = 0.03). Overall, nondippers were found to be in highest percentage in the study. Conclusions: WCH is high in young population, especially among medical professionals. The prevalence of WCH is 66% which is significantly high as compared to the literature available. Reverse dipping on ABPM is strongly associated with true hypertension.


How to cite this article:
Gupta H, Mehrotra S, Gupta A. The study of prevalence and determinants of white-coat hypertension in medical personnel: A prospective study.Heart India 2019;7:131-136


How to cite this URL:
Gupta H, Mehrotra S, Gupta A. The study of prevalence and determinants of white-coat hypertension in medical personnel: A prospective study. Heart India [serial online] 2019 [cited 2020 Feb 23 ];7:131-136
Available from: http://www.heartindia.net/article.asp?issn=2321-449x;year=2019;volume=7;issue=4;spage=131;epage=136;aulast=Gupta;type=0