To achieve a diagnosis of high blood pressure
, we need at least 2 readings obtained one week apart, after quietly resting in a sitting position for 5 minutes, without recent consumption of caffeine, cigarretes or other vasoactive substances. Many anxious patients do have white coat hypertension
, meaning that the anxiety
to see doctors increases blood pressure at that moment; if this is the case, then an ambulatory blood pressure
monitor is the best way to rule in or out the diagnosis.
Dr Brenes-Salazar MD
Mayo Clinic MN