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What Causes High BP When I Go To A Clinic?

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Posted on Mon, 5 Jan 2015
Question: My blood pressure always goes up everytime I go to a clinic, why is that ? My readings are always around
124/89 Pulse 62 then at a clinic its like 179/100 I don't understand it.
doctor
Answered by Dr. Benard Shehu (41 minutes later)
Brief Answer:
You are experiencing white coat hypertension (syndrome).

Detailed Answer:
Hi XXXXXX!

I read your query and understood your concern. What you are experiencing is called white coat hypertension (syndrome). In this syndrome the patient has hypertension only during physician visits (in clinical settings), but not in other settings. So you have nothing to worry about.

If you were my patient I would recommend doing the following examinations:
-     ECG
-     Cardiac ECHO
-     BP ambulatory (home) monitoring
-     Blood work including BUN and creatinine

Meantime I suggest a healthy lifestyle i.e.:
-     avoid salty food
-     avoid fatty food
-     avoid unnecessary stress
-     decrease alcohol intake
-     increase physical activity
These measures will help you control your BP.

Wish you health!
Dr. Benard
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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What Causes High BP When I Go To A Clinic?

Brief Answer: You are experiencing white coat hypertension (syndrome). Detailed Answer: Hi XXXXXX! I read your query and understood your concern. What you are experiencing is called white coat hypertension (syndrome). In this syndrome the patient has hypertension only during physician visits (in clinical settings), but not in other settings. So you have nothing to worry about. If you were my patient I would recommend doing the following examinations: - ECG - Cardiac ECHO - BP ambulatory (home) monitoring - Blood work including BUN and creatinine Meantime I suggest a healthy lifestyle i.e.: - avoid salty food - avoid fatty food - avoid unnecessary stress - decrease alcohol intake - increase physical activity These measures will help you control your BP. Wish you health! Dr. Benard