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Blood Pressure Check

 Hypertension & Blood Pressure

White coat hypertension, ABPM and treatment thresholds

Overdiagnosis concern

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White coat hypertension affects an estimated 30–40% of patients diagnosed on clinic readings alone. NICE 2011 guidance introduced ABPM specifically to address this. Tight BP targets in elderly patients carry risks of falls, syncope and acute kidney injury.

NICE NG136 Hypertension in Adults (2022)​

Core UK guidance covering ABPM protocols for diagnosis, treatment thresholds and considerations for older adults.

Cureus: White Coat Hypertension in Primary Care (2025)​

Up-to-date narrative review including prevalence and diagnostic challenges in primary care settings.

Impact of 2011 NICE Guideline on hypertension management​

Real-world evidence on the effect of mandating ABPM in English general practices.

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