Beyaz önlük hipertansiyonunda uç organ hasarı ile vücut kitle indeksi arasındaki ilişki

Abstract

Objective: White coat hypertension (WCH) is characterized byblood pressure, which is high in the outpatient clinic and normaleither on ambulatory blood pressure (BP) monitoring or homeBP monitoring. In this study, our objective was to investigate theeffects of obesity on end organ damage and the correlation betweenbody mass index (BMI) and end organ damage caused by WCH.Patients and Methods: Individuals, who applied to ouroutpatient clinic due to other complaints or who were not diagnosedwith or treated for hypertension, were enrolled in our study. Basedon daytime values, systolic blood pressures below 135mmHgand diastolic blood pressures below 85mmHg were considered asWCH. The patients were examined for the findings of end organdamage. The left ventricular mass (LVM) was measured withechocardiography. Findings of hypertensive retinopathy wereevaluated and albumin levels were measured.Results: The mean left ventricular mass index (LVMI) andLVM values were 96.29±25.6g/m2 and 170.87±50.17g respectively.The rate of hypertensive retinopathy was 17%. We determineda significant correlation between BMI and LVMI independentlyfrom blood pressure levels.Conclusion: There are conflicting conclusions about the risksrelated to WCH. However, several types of end organ damagecan be observed independently from the blood pressure levels inthis group of patients. Cardiac failure is more common and hasan early onset in obese patients with WCH. In conclusion, endorgan damage may emerge during the follow-up of WCH patientswithout a significant change in the blood pressure values.