Mehmet Rami Helvaci
Marmara University, Turkey
Title: White coat hypertension may actually be an acute phase reactant in the body
Biography
Biography: Mehmet Rami Helvaci
Abstract
Background: We tried to understand the significance of white coat hypertension (WCH), clinically.
Methods: We took consecutive patients with underweight in the first phase, and age-matched consecutive patients with normal weight, overweight, and obesity were taken in the second phase of the study.
Results: Although we were able to detect 50 cases in the underweight group with a mean age of 24.7 years, we were only able to detect nine age-matched cases in the obesity group, thus the obesity group was not taken for comparison. There were gradual and statistically significant increases in the prevalences of WCH beside the gradual and significant decreases in the sustained normotension (NT) from the underweight towards the normal weight and overweight groups. Eventually, only 31.8% of the overweight cases have sustained NT although the very young mean age of them.
Conclusions: Due to the gradually increased prevalences of WCH from the underweight towards the normal weight and overweight groups and the very low prevalence of sustained NT in the overweight group although the very young mean age of them and the already known increased prevalences of hypertension, impaired fasting glucose, impaired glucose tolerance, type 2 diabetes mellitus, hypertriglyceridemia, hyperbetalipoproteinemia, dyslipidemia, coronary artery disease, chronic obstructive pulmonary disease, cirrhosis, chronic renal disease, and stroke and an increased all-cause mortality rate in the same direction, WCH may actually be an acute phase reactant mainly alarming overweight and obesity and many associated health problems in future