S-46-1: WHITE-COAT HYPERTENSION AND MASKED HYPERTENSION: OVERALL EVIDENCE AND PERSPECTIVE FROM USA

The diagnosis and management of hypertension has been predominantly based on the measurement of blood pressure (BP) in the office. Extensive data has demonstrated that BP may greatly differ when measured in office than when measured outside the office setting, and higher out-of-office BP is associated with increased cardiovascular risk independent of office BP. White coat hypertension is defined as having high office BP without high out-of-office BP. Masked hypertension is defined as having high out-of-office BP without high office BP. Ambulatory BP monitoring (ABPM) and home BP monitoring (HBPM) are validated approaches for out-of-office BP measurement, and both methods can be used for detecting white coat hypertension and masked hypertension. This talk focuses on the evidence for conducting ABPM and HBPM for detecting white coat hypertension and masked hypertension, and the perspective from the USA about which approach for out-of-office BP measurement should be used for the diagnosis and management of hypertension among adults.