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Farm Comunitarios. 2021 Jul 02;13(3):38-40. doi: 10.33620/FC.2173-9218.(2021/Vol13).003.06

Ambulatory Blood Pressure Monitoring (ABPM) professional service in Community Pharmacy. White-coat UnControlled Hypertension identification

Villasuso Cores B1, Penín Álvarez O2, Rojo Fernández JC3, Pico Feal N1, Brizuela Mateo L1, Lage Piñón M4
1. Farmacéutica comunitaria. Farmacia Benigna Villasuso. Mugardos, A Coruña, España. 2. Farmacéutico comunitario. Farmacia Óscar Penín. Celanova, Ourense, España. 3. C.S. Celanova. Servicio Galego de Saude (SERGAS). Médico de familia. Celanova, Ourense, España. 4. Farmacéutica comunitaria. Farmacia Cambre (A Coruña).
Villasuso B, Penín O, Rojo JC, Pico N, Brizuela L, Lage M. Ambulatory Blood Pressure Monitoring (ABPM) professional service in Community Pharmacy. White-coat UnControlled Hypertension identification. Farm Comunitarios. 2021 Jul 02;13(3):38-40. doi: 10.33620/FC.2173-9218.(2021/Vol13).003.06
Abstract : 

68-year-old man diagnosed with hypertension 6 months ago. We have included it in our professional pharmaceutical care service for measurement and control of blood pressure, obtaining values within normality.

The patient has scheduled a surgical intervention in the ophthalmology service that could not be performed due to successive high blood pressure values (≥180 / 100 mmHg) in a primary and specialized medical consultation.

He refers to getting “very nervous” when going to the doctor. We suspect that elevated office BP values are compatible with a “white coat effect” (WCE). We agreed with him and his primary care physician to perform ambulatory blood pressure monitoring (ABPM) in order to rule out EBB.

Once the results have been obtained, identify the patient’s phenotype and observe that the ABPM BP values are within normality, an ophthalmology consultation is performed.

In view of them, the ophthalmologist decides to perform the operation, which is carried out successfully.

Keywords : 
Ambulatory bloood pressure monitoring (abpm), white coat effect (wce), pharmaceutical care services (pcs)

Editor: © SEFAC. Sociedad Española de Farmacia Clínica, Familiar y Comunitaria. 
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