DIAGNOSIS OF THE WHITE COAT EFFECT BY 30-MINUTE OFFICE BLOOD PRESSURE MONITORING (OBP30)

Châu Hữu Hầu1,, Hia Kim Khuê1, Quách Lâm Thanh Trúc1
1 Nhat Tan General Hospital

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Abstract

Patients who came to the examination rooms of the Out-Patient Examination Department of Nhat Tan hospital with hypertension that the doctor thought about the white coat effect during 8 months from October 1, 2020 to May 31, 2021. The number of patients with OBP30 measured was 163 including records with at least 8 readings. Methods: Cohort. Blood Pressure Monitoring  device was Norav, NBP-24 NG. Results: A total of 163 patients were recorded with full OBP30, of which 93 were female, accounting for 57%. Age 14 to 86. Mean age was 48.7 ± 14.5. When measuring OBP and someone showing signs of hypertension, the doctor thought that 107 people should be treated (65.6%). After getting the results of OBP30, the doctor only prescribed antihypertensive treatment for 74 people (45.4%), reduced 33 people, and the rate of reduction in hypertension treatment was 20.2%. Conclusion: Our study shows that OPB30 reduces the effect of White Coat Effect about 20.2% of cases with identified office hypertension. Thereby, treating hypertensive patients and monitoring White Coat Effect patients will be more effective as well as reducing costs and side effects for them.

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References

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