Prevalence of white-coat and masked hypertension in patients type 2 diabetes

  • Dana Mihaela Ciobanu Department of Diabetes and Nutrition Diseases, Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
  • Cornelia Bala Department of Diabetes and Nutrition Diseases, Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania https://orcid.org/0000-0001-6216-9088
  • Mihaela Filip Centre of Diabetes, Nutrition and Metabolic Diseases, Emergency Clinical County Hospital, Cluj-Napoca, Romania
  • Cristina Ioana Pătruţ Centre of Diabetes, Nutrition and Metabolic Diseases, Emergency Clinical County Hospital, Cluj-Napoca, Romania
  • Ioana Hămbăşan Centre of Diabetes, Nutrition and Metabolic Diseases, Emergency Clinical County Hospital, Cluj-Napoca, Romania
  • Gabriela Roman Department of Diabetes and Nutrition Diseases, Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania http://orcid.org/0000-0002-5981-5672
Keywords: white coat hypertension, masked hypertension, ambulatory blood pressure monitoring, type 2 diabetes mellitus, hypertension

Abstract

Concurrent measurement of office blood pressure (BP) and 24-hour monitoring of BP is an effective method for diagnosing white and masked hypertension, two pathological conditions associated with increased cardiovascular risk. We aimed to investigate the prevalence of white-coat and masked hypertension in a cohort of patients with type 2 diabetes. We randomly recruited 260 patients with type 2 diabetes and hypertension in our cross-sectional study. Anthropometric, clinical, and laboratory data were collected and all patients were submitted to 24-hour ambulatory BP monitoring. Participants were 61.1±7.9 years old, 102 (39.2%) men, and had a median duration of diabetes of 10.0 (5.0; 15.0) years. We found that the prevalence of white-coat hypertension and masked hypertension was present in 13% and 43.5%, respectively. In our patients with type 2 diabetes, we observed a lower prevalence of white-coat hypertension and a higher prevalence of masked hypertension compared to previous data reported in the general population. Our observation draws attention to the importance of office BP and 24-hour ambulatory BP measurements in patients with type 2 diabetes.

Published
2022-09-30
How to Cite
Ciobanu, Dana, Cornelia Bala, Mihaela Filip, Cristina Pătruţ, Ioana Hămbăşan, and Gabriela Roman. 2022. “Prevalence of White-Coat and Masked Hypertension in Patients Type 2 Diabetes”. Romanian Journal of Diabetes Nutrition and Metabolic Diseases 29 (3), 273-79. https://rjdnmd.org/index.php/RJDNMD/article/view/1119.