White Coat Hypertension: Elevated BP in the Clinic

Ever notice your blood pressure skyrockets at the doctor’s office but reads fine at home? That’s not your imagination — it’s called white coat hypertension, and it affects up to 30% of people diagnosed with high blood pressure.

What Is White Coat Hypertension?

White coat hypertension happens when your blood pressure rises temporarily in medical settings due to stress or anxiety. It can lead to false diagnoses, unnecessary medications, or missed treatment opportunities if not properly assessed.

Why It Matters

  • Some patients truly have normal blood pressure — but get medicated due to in-office readings.

  • Others may have masked hypertension — normal in the clinic but high the rest of the time.

  • White coat hypertension may still carry long-term cardiovascular risks, especially if left unmanaged.

How to Know If It's Real

  • Use a home blood pressure cuff (validated device, arm-based)

  • Record readings twice daily for 1–2 weeks

  • Compare with in-office results

  • Consider ambulatory blood pressure monitoring (ABPM) if available

How to Reduce Stress Before a BP Reading

  • Arrive early, sit quietly for 5 minutes

  • Don’t talk during the measurement

  • Keep both feet flat on the floor

  • Avoid caffeine, smoking, or exercise 30 minutes prior

Tactical Takeaway

If you're tracking high at the clinic but normal at home, speak up. Good medicine starts with good data — and one high reading doesn’t always mean you need a prescription.

Medical Disclaimer: This blog is intended for informational and educational purposes only. It is not intended to diagnose, treat, or replace medical advice from a licensed healthcare provider. Always consult your doctor before starting any new health regimen or interpreting lab results. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately.

Alex Lowery

Alex Lowery is an entrepreneur, brand strategist, and the founder of Rural Changemakers, a platform built for the dreamers and doers shaping the future of small-town America. Based in Wesson, Mississippi, Alex blends her background in agricultural communications, digital marketing, and leadership development to empower rural leaders, small business owners, and changemakers to build bold brands, sustainable businesses, and purpose-driven lives.

With over a decade of experience and multiple ventures under her belt — including Middle of the Field Media, Sweet Bliss Candy Company, and Bat Sweet Crazy — Alex knows firsthand what it takes to grow something meaningful in the middle of nowhere. Through blog posts, podcast episodes, and practical resources, she shares real stories, rural strategies, and a whole lot of encouragement to help others break the cycle of “that’s how we’ve always done it” and start building what matters, right where they are.

https://alexjlowery.com
Previous
Previous

The Plague: A Historical and Medical Overview

Next
Next

Emergency Pericardiocentesis: Tactical Cardiac Relief