I'm a fellow sufferer too. Years ago, my GP told me to buy my own tester to use. When I moved and explained the problem to my new GP, he had a trick of getting me relaxed then quickly, and unannounced, checked my BP. It was always okay.
A few years back, I had to be checked to see if I was okay for day surgery, I got really stressed waiting for the check up and by the time I went in my BP was seriously high. I explained the situation and was told me to wait while she saw the next patient, then tested me again and it was normal. That's another trait with me, when I get the stressed up test out of the way, I'm okay!
White Coat Hypertension
Re: White Coat Hypertension
Talk is cheap
Re: White Coat Hypertension
I've had the white coat condition since I was a teenager, but whereas it checks high in the office it's still high, but not a much at home so I still take medication. I've found with a home machine that if I take it 3 times with a minute in between systolic drops from the 140s-150s to the 120s-130s. I told the doc that and he said that was not uncommon and that I should believe the lowest reading as just strapping the machine on at home was initially raising my pressure....
My brain is like an Internet browser; 12 tabs are open and 5 of them are not responding, there's a GIF playing in an endless loop,... and where is that annoying music coming from?
Re: White Coat Hypertension
I've noticed the same thing when taking my BP at home. The first time is always somewhat higher than the second. Now I do three separated by a few minutes and record the lowest one.
Re: White Coat Hypertension
Coincidentally The Guardian is running a small article about this:
http://www.theguardian.com/society/shor ... ome-doctor
http://www.theguardian.com/society/shor ... ome-doctor
Governments are instituted among Men, deriving their just powers from the consent of the governed. Source
Re: White Coat Hypertension
The calculator for the algorithm referred to in the article is here:
PROOF-BP - PRedicting Out of OFfice Blood Pressure in the clinic
PROOF-BP - PRedicting Out of OFfice Blood Pressure in the clinic
Re: White Coat Hypertension
Was advised by Doc that the machines are highly battery dependent, which has proven true with our machine which gives wide ranging readings between old and new batteries.
Now have a draw half full of half drained AA batteries, still good for the wireless mouse.
Chas
Now have a draw half full of half drained AA batteries, still good for the wireless mouse.
Chas
- aragon
- Professional
- Posts: 438
- Joined: Fri Mar 16, 2012 4:12 pm
- Location: The (Not So) Magic Kingdom
Re: White Coat Hypertension
I also have this issue. I have been checking my BP at home for years, initially I had one of the cuff type machines, however my doctor told me these were not as accurate as the upper arm type, so I switched a few years ago. I check my BP every morning after I have showered and record all readings on an excel spreadsheet, I was doing it twice/day but that seemed a bit excessive.
“He has all the virtues I dislike and none of the vices I admire.” Sir Winston Churchill
Life isn't like a bowl of cherries or peaches, it's more like a jar of Jalapenos--what you do today, might burn your ass tomorrow......
Life isn't like a bowl of cherries or peaches, it's more like a jar of Jalapenos--what you do today, might burn your ass tomorrow......
Re: White Coat Hypertension
I'm sure no one is really interested, but just in case….
Here are the formulae that they use to calculate what they call the "out-of-office" expected BPs:
Here are the formulae that they use to calculate what they call the "out-of-office" expected BPs:
Code: Select all
//Calculate predicted out-of-office BPs
spobp = sbp1 + 33.57419+(age*0.6269306)+(sex*-3.598565)+(sbp1*-0.036267)+((sbp3-sbp1)*0.3617946)+((weight/(height*height))*-0.2093273)+(timehyp*0.175593)+(diaghyp*-5.069816)+(antihyp*6.942526)+((sbp1-dbp1)*-0.6181946)+((age*sbp1)*-0.0077222)+((age*(sbp1-dbp1))*0.009603)+((sex*(weight/(height*height)))*0.2976424)+((sex*timehyp)*-0.2587568)+((sex*antihyp)*-14.73537)+((sex*diaghyp)*13.3899);
dpobp = dbp1 + 59.34239 + (age*-0.3340627) + (sex*3.328766) + (dbp1*-0.4658008) + ((dbp3-dbp1)*-0.4040305) + ((weight/(height*height))*-0.6620654) + (diaghyp*-0.0296759) + (antihyp*10.45892) + (histcvd*-11.07324) + ((sbp1-dbp1)*-0.060376) + ((age*(dbp3-dbp1))*0.0118679) + ((age*(weight/(height*height)))*0.0097736) + ((age*histcvd)*0.1766609) + ((age*antihyp)*-0.133922) + ((sex*antihyp)*-7.997599) + ((sex*diaghyp)*4.628107);
Re: White Coat Hypertension
People like to take a manual BP, not just for accuracy, they can hear many diagnostic features of the hearts rhythm.
Enjoying 'Retirement'....So many jobs to do, I don't know how I ever had time to work!