This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Both the article by Grandi et al¹ showing that patients with IOH, or white-coat hypertension, had increased left ventricular mass and the accompanying editorial² recommending that patients with IOH should be given medication misrepresent the relationship between ABPM and echocardiographic assessment of left ventricular mass as found in many larger and better-designed studies. Furthermore, Dr Moser's extrapolation of the results of this single study¹ to long-term outcomes avoids the central issue: which assessments of BP best predict future cardiovascular morbidity and mortality and provide some basis for selecting treatment? Abundant epidemiologic surveys indicate that the long-term average BP, corrected for regression dilution, is the best predictor of risk.³ Short-term measurement of office BPs, especially when they are near cutoff points for normal, all too often result in a false-positive diagnosis of hypertension.⁴ Hence, supplemental BP readings, taken at home with reliable methods or with ABPM, provide more precise averages. These . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?