Reverse white-coat hypertension

Q: Can you have “white-coat” hypertension in reverse (high at home and low at the doctor’s office)?

A: This kind of situation is often referred to as masked hypertension. It is seen more commonly in people with other risks for heart disease such as obesity and high blood fats. Also, masked hypertension is more common in females. It is important to let your doctor know about your elevated readings. In addition, to insure accuracy, make sure you take your pressure about the same time of day and use proper positioning.

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