Guidelines for Managing Hidden Hypertension
Published: Aug 03, 2024
Discover the recommended guidelines for identifying and managing the hidden dangers of white coat and masked hypertension.
Contents
Who Should Be Evaluated?
Guidelines suggest evaluating those with elevated office-based blood pressure and treatment resistance for white coat hypertension. Similarly, individuals with normal office readings but high risk factors should be checked for masked hypertension. These evaluations help in early detection and management.
Recommended Monitoring Methods
Out-of-office monitoring, such as ABPM and SMBP, is recommended for accurate diagnosis. ABPM provides a comprehensive 24-hour blood pressure profile, while SMBP offers convenient home monitoring. Both methods play a crucial role in managing hidden hypertension.

Managing White Coat and Masked Hypertension
For white coat hypertension, lifestyle changes and regular monitoring are preferred over medication. Masked hypertension may require intensified antihypertensive treatment. Following these guidelines helps in minimizing the risks associated with these conditions.
Frequently Asked Questions
Those with elevated office BP and high-risk factors.
ABPM and SMBP are recommended monitoring methods.
Through lifestyle changes and regular monitoring.
With intensified antihypertensive treatment.
Key Takeaways
Are you following the guidelines for managing hidden hypertension?
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References
Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. Hypertension 2018; 71:e13.
Mancia G, Kreutz R, Brunström M, et al. 2023 ESH Guidelines for the management of arterial hypertension. J Hypertens 2023; 41:1874.
Always discuss health information with your healthcare provider.