White Coat Syndrome: Why Your Blood Pressure Spikes at the Doctor (And How We Account for It)

What Is White Coat Syndrome?

White coat syndrome got its name from the traditional coats worn by primary care doctors. It is a term that refers to blood pressure readings that spike when measured in a health care setting. According to medical experts, these unusual spikes are triggered by stress and anxiety.

The recent hypertension reports have linked white-coat hypertension to a small increase in the risk of heart-related risks. In addition, people with white coat syndrome are prone to elevated blood pressure. With that said, working with a primary care doctor outside a health care setting can ensure an accurate diagnosis and personalized care to maintain good health.

The reality is that blood pressure fluctuates constantly throughout the day, and checking it once can’t provide a definite conclusion. That’s why primary care doctors recommend checking blood pressure at different times for a more accurate assessment.

Risks of White Coat Syndrome

Still unsure about home blood pressure monitoring? By understanding the potential risks of white coat hypertension, you can make more informed decisions. Physicians account for this condition by taking in-office readings greater than 130/80, but less than 160/100. If home blood pressure readings reveal normal readings, you may not need further diagnosis and treatment. However, strikingly high readings might signal a looming cardiovascular problem, even if your daily blood pressure average is less than 130/80.

According to a recent report, people with misdiagnosed and untreated white coat syndrome are more likely to experience heart disease than people with a normal blood pressure reading throughout. However, people taking blood pressure medication but whose readings still rose at the doctor’s office didn’t have a higher risk of cardiovascular complications.

Who Needs a Closer Look?

Primary care doctors don’t always agree on who should be checked for white coat syndrome. When it comes to treatment, lifestyle changes are vital for anyone with a high blood pressure reading at the office.  People who are obese or overweight should commit fully to lifestyle changes to maintain healthy blood pressure. Additionally, those with high cholesterol, diabetes, and other risk factors of heart disease or stroke should start blood pressure medication quickly.

Sometimes, primary care doctors in Riverdale, MD may recommend a heart ultrasound for patients who are reluctant to take medication. This test helps alleviate doubt by revealing possible thickening of the heart’s main chamber, a warning sign of damage from elevated blood pressure. While testing for white coat hypertension isn’t endorsed by guidelines, equipping yourself with pertinent information on the subject can help determine the need for drug therapy.

Take Control of Your Blood Pressure

Did you know that one in three adults in the United States has high blood pressure? Unfortunately, many people don’t even know they have it until it is too late, as it has no warning signs or symptoms. If you want to take more control over your blood pressure, both at home and in the doctor’s office, Southern Maryland Medical Group can help. Contact us today to schedule a consultation with our primary care doctors and learn more effective strategies to keep your blood pressure in check.