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May 20, 1988

White Coat Hypertension-Reply

Author Affiliations

The New York Hospital— Cornell Medical Center

The New York Hospital— Cornell Medical Center

JAMA. 1988;259(19):2848-2849. doi:10.1001/jama.1988.03720190019016

In Reply.  —We are glad that our article has generated so much interest. We agree with the point made by several of the respondents (and by ourselves in the article) that the interactions of the gender and status of the medical personnel need to be further elucidated. We are presently evaluating the effects of a female physician and a male technician on patients' blood pressure. The potential confounding factors that might influence clinic blood pressures are almost numberless. In addition to the gender of the physician or technician, there is evidence that racial interactions may also be significant.1 Dr Serwatka may be interested to know of a study2 performed on army recruits, in which the experimenter was either a private or a captain. Blood pressure was consistently higher in the presence of the captain. Long et al3 have observed that the increase of blood pressure that occurs during