{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:15:05Z","timestamp":1790259305797,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There is a controversial debate regarding whether unattended blood pressure (BP) measurement should be regarded as the new gold standard of office BP measurement. Unattended BP measurement eliminates the white\u2010coat effect and reduces external influences on the patient. On the other hand, it might underestimate real\u2010life BP. The present study compares the prevalence of masked hypertension using attended versus unattended office BP measurements. We performed a cross\u2010sectional study on 213 patients in a general practitioner's outpatient clinic and compared attended and unattended office BP with 24h\u2010ambulatory BP monitoring (24h\u2010ABPM). Masked hypertension was defined as pressure \u2265135\/85\u00a0mmHg in daytime ABPM with office systolic BP\u00a0&lt;\u00a0140\/90\u00a0mmHg. Median attended and unattended office BPs were 140\/86 and 134\/80\u00a0mmHg with a median 24h\u2010BP of 129\/79\u00a0mmHg and daytime ABP of 133\/82\u00a0mmHg. The number of patients with masked hypertension was 45\/213 (21.2%) using unattended and 23\/213 (10.8%) using attended office BP measurements (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.0001). Bland\u2013Altman analysis revealed a 7.4\u00a0mmHg systolic and 6.2\u00a0mmHg diastolic bias between the attended versus unattended office BP, and two systolic and \u22121.7\u00a0mmHg diastolic biases between the unattended office BP and daytime ambulatory BP. In linear regression analysis, an unattended office BP of 134\u00a0mmHg corresponded to 140\u00a0mmHg in attended BP measurement. Using a cut\u2010off of 135\/85\u00a0mmHg instead of 140\/90\u00a0mmHg in unattended office BP measurement, the rate of masked hypertension was 26\/213 (12.2%). Thus, unattended office BP measurement results in a substantial increase in the prevalence of masked hypertension using the traditional definition of hypertension. The present findings suggest that it might be reasonable to use a definition of 135\/85\u00a0mmHg.<\/jats:p>","DOI":"10.1111\/jch.14798","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T05:41:09Z","timestamp":1715838069000},"page":"615-623","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Prevalence of masked hypertension in attended versus unattended office blood pressure measurement"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4516-6840","authenticated-orcid":false,"given":"Sebastian","family":"Bertram","sequence":"first","affiliation":[{"name":"Medical Department 1 University Hospital Marien Hospital Herne Ruhr\u2010University Bochum  Herne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Bauer","sequence":"additional","affiliation":[{"name":"Nephrology Contilia Elisabeth\u2010Hospital  Essen 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