Produção Nacional
Revisado por pares
I Brazilian Position Paper on Prehypertension, White Coat Hypertension and Masked Hypertension: Diagnosis and Management
2014; Sociedade Brasileira de Cardiologia (SBC); Linguagem: Inglês
10.5935/abc.20140011
ISSN1678-4170
AutoresAlexandre Alessi, Andréa Araújo Brandão, Annelise Machado Gomes de Paiva, Armando da Rocha Nogueira, Audes D. M. Feitosa, Carolina Gonzaga, Celso Amodeo, Décio Mion, Dilma do Socorro Moraes de Souza, Eduardo Costa Duarte Barbosa, Emilton Lima Júnior, Fernando Nobre, Flávio Danni Fuchs, Hilton Chaves, Jamil Cherem Schneider, João Roberto Gemelli, José Fernando Villela-Martin, Luiz César Nazário Scala, Marco Antônio Mota Gomes, Marcus Vinícius Bolívar Malachias, Nelson Siqueira de Morais, Osni Moreira Filho, Oswaldo Passarelli, Paulo César Brandão Veiga Jardim, Roberto Dischinger Miranda, Rui Póvoa, Sandra Cristina Pereira Costa Fuchs, Sergio Baiocchi, Thiago Veiga Jardim, Weimar Kunz Sebba Barroso,
Tópico(s)Nutritional Studies and Diet
ResumoArterial blood pressure (BP) is a very useful variable in clinical practice. Its measurement is simple, inexpensive and easy; it is worth noting that BP should be accurately obtained, following the recommendations of the VI Brazilian Guidelines on Hypertension (DBH VI)1. Office BP measurement is the central parameter for the diagnosis, treatment and follow-up of systemic arterial hypertension (SAH), being directly, continuously and independently related to the risk of fatal and non-fatal cardiovascular (CV) events1-3. Thus, the consideration of BP values closer to the upper limits of normality, the so-called prehypertension (PH)2, and intervention on those values have been emphasized over the last decade, because PH represents an important opportunity to prevent established SAH, contributing to reduce the associated CV risk. Repeated BP measurement at the office allows the diagnosis of hypertension and normotension. To better assess BP behavior, there are methods that analyze BP by using a higher number of measurements, minimizing interferences of the environment, situation and observer. Those alternatives are as follows: 24-hour ambulatory BP monitoring (ABPM); and dwelling BP measurement [home BP monitoring (HBPM) and BP self-measurement (BPSM)]. Based on those methods, two other BP classifications were adopted: white coat hypertension (WCH) and masked hypertension (MH)1,3-5 (Figure 1). Figure 1 Classification of blood pressure behavior considering office BP, ABPM and home BP measurements1. ABPM: ambulatory blood pressure monitoring; BP: blood pressure. Epidemiological and clinical studies on those conditions are still limited; however, they deserve attention because of their higher CV risk as compared with normotension6,7. This document represents the position of the Brazilian Society of Cardiology Arterial Hypertension Department (DHA/SBC) on the diagnosis and non-drug and drug therapy for PH, WCH and MH, aiming at contributing to a better clinical practice.
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