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Editorial
December 10/24, 2001

White-Coat Hypertension—To Treat or Not to TreatA Clinical Dilemma

Arch Intern Med. 2001;161(22):2655-2656. doi:10.1001/archinte.161.22.2655

IN THIS ISSUE OF THE ARCHIVES, Grandi et al1 describe changes in left ventricular (LV) function and size in isolated office hypertensives compared with matched groups of normotensives and sustained hypertensives. Patients with in-office blood pressures (BPs) greater than 140/90 mm Hg but daytime ambulatory BPs less than 130/80 mm Hg were compared with normotensive individuals (in-office systolic BP <135 and/or diastolic <85 mm Hg and daytime ambulatory BP <130/80 mm Hg) and sustained or persistent hypertensives (in-clinic and daytime ambulatory systolic BP >140 and/or diastolic >90 mm Hg). Their findings are of more than academic interest.

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