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Old November 16th 03, 10:11 PM
BTIZ
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great answer..

BT

"David Rind" wrote in message
...
Pong543 wrote:
I take my blood pressure at home (monitor is accurate) and it is normal,

but
everytime I go to the doctor or AME I get nervous as hell and my BP goes
skyhigh. Anyone have any good tips to overcome this?


Since you are asking this in r.a.p., I'll guess that your question
means: "I don't really have high blood pressure, but my readings
at the doctor's office say I do and that means I may have trouble
with my medical." An alternative meaning, had this been asked in
sci.med, might be "My BP is high in the office but not at home;
do I have high blood pressure?"

People with elevated readings in the office but normal in other
settings, "white coat hypertension", typically have cardiovascular
risks somewhere between people who read normal in the office and
those who are always hypertensive.

If you are trying to convince an AME that your elevated readings
are not actual hypertension (and so not a problem for the FAA),
I would think that getting 24-hour ambulatory blood pressure
monitoring might be the answer. I have no idea what the FAA thinks
about this issue, but from a medical standpoint it's a good way
to distinguish real from white coat hypertension.

--
David Rind