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Correspondence
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Volume 350:2315-2316 May 27, 2004 Number 22
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An Acute Hypertensive Episode Triggered by an Ambulatory Blood-Pressure–Monitoring Device

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To the Editor: Twenty-four-hour ambulatory blood-pressure monitoring is used to differentiate so-called white-coat hypertension from more prolonged and frequent hypertension.1,2 We describe a patient in whom the monitoring device itself was instrumental in triggering an acute hypertensive episode.

A 46-year-old man was referred to the hypertension clinic in Ashkelon, Israel, for ambulatory blood-pressure monitoring to rule out white-coat hypertension, because his blood pressure was high when measured in the office but normal when measured at home. His medical history was unremarkable. Shortly after the monitoring device was attached to the patient, he was arrested by the police. The wires penetrating . . . [Full Text of this Article]


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