White coat hypertension (elevated office blood pressure but normal home and/or ambulatory blood pressure) is frequently encountered in resistant hypertension. Current guidelines recommend home or ambulatory blood pressure measurement (ABPM) for all patients with resistant hypertension. The aim of this study was to assess the adoption of these guidelines in every day clinical practice.Design and method:
Our study included 212 sequential patients with resistant hypertension that attended our hypertension outpatient clinic. Patients were asked whether ABPM was performed, or if they had been given advice on systematic blood pressure measurement at home, according to guidelines.Results:
ABPM was performed in 9 patients out of 212 study participants (4.2%). Out of 212 patients only 33 (15.6%) had been advised to measure blood pressure at home, whereas only 14 patients (6.6%) had measured their blood pressure on a regular basis (morning-evening), using a certified sphygmomanometer, according to guidelines.Conclusions:
Poor adoption of guidelines about home or ambulatory blood pressure measurement for patients with resistant hypertension in everyday clinical practice underlines the need for more intensive orientation of physicians managing patients with resistant hypertension.