一个极端白大褂效应的例子

IF 2.3 4区医学 Q2 PERIPHERAL VASCULAR DISEASE

Blood Pressure Pub Date : 2020-01-02 DOI:10.1080/08037051.2019.1658517

Jakob Nyvad, Mark Reinhard, K. L. Christensen

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引用次数: 1

摘要

摘要:在本报告中，我们提出了一个具有挑战性的情况下，一个63岁的白人妇女与血压(BP)测量极端应激反应。办公室和动态血压测量一致发现收缩压高于200mmhg。然而，抗高血压药物使她感到头晕和极度不适，并且她几乎不能忍受中等剂量的血管紧张素转换酶(ACE)抑制剂的治疗。基于指套的测量(Finapres Finometer®)显示与医疗专业人员接触有关的极端高血压，但当患者单独坐下时未观察到低血压。几个月后，患者出现出血性中风，可能与她在紧张情况下的极端血压波动有关。

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A case of an extreme white coat effect

Abstract In this report, we present a challenging case of a 63-year-old Caucasian woman with an extreme stress response to blood pressure (BP) measurements. Office- and ambulatory BP measurements consistently found systolic BP above 200 mmHg. However, antihypertensive medication made her dizzy and extremely unwell, and she could barely tolerate treatment with a moderate dose of angiotensin-converting enzyme (ACE) inhibitor. Finger-cuff-based measurements (Finapres Finometer®) revealed extreme hypertension in relation to contact with medical professionals, but hypotension when the patient was seated alone unobserved. Months after, the patient suffered a hemorrhagic stroke possibly related to her extreme BP-fluctuations in stressful situations.

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来源期刊

Blood Pressure 医学-外周血管病

CiteScore

3.00

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： For outstanding coverage of the latest advances in hypertension research, turn to Blood Pressure, a primary source for authoritative and timely information on all aspects of hypertension research and management. Features include: • Physiology and pathophysiology of blood pressure regulation • Primary and secondary hypertension • Cerebrovascular and cardiovascular complications of hypertension • Detection, treatment and follow-up of hypertension • Non pharmacological and pharmacological management • Large outcome trials in hypertension.