Treatment of Hypertension on the Basis of Home Measurements

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Abstract
Should antihypertensive therapy be based on home blood-pressure monitoring in hypertensive patients with marked white-coat phenomenon? A 53-year-old hypertensive woman with marked white-coat phenomenon had been treated on the basis of blood pressure at home without measurements of clinic blood pressure for 5 years. The target of her treatment was changed to clinic blood pressure because of marked electrocardiographic abnormalities, which were subsequently normalized by the treatment given for the office hypertension. Thus, the experience of this case suggests that treatment of cases of hypertension with white-coat phenomenon should not be based only on home recordings.