We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Treatment of IOH and Risk of Visual Complications

Sohan Singh Hayreh, MD, PhD, DSc, FRCS, FRCOphth
Arch Intern Med. 2002;162(13):1526-1528. doi:.
Text Size: A A A
Published online


I read with interest the article on IOH by Grandi et al1 and the accompanying editorial by Dr Moser.2 Grandi and colleagues concluded that IOH, also known as white-coat hypertension, "should not be considered as simply a benign condition," because they found that patients with IOH have evidence of increased left ventricular mass and wall hypertrophy and reduced diastolic function compared with normotensive subjects. Their study also showed that isolated office BP in patients with IOH (154/93 mm Hg) was similar to that in patients with sustained hypertension (153/93 mm Hg). However, on 24-hour ambulatory BP monitoring, daytime systolic (126 ± 5 mm Hg) and diastolic (74 ± 6 mm Hg) BP levels in subjects with IOH were similar to those in normotensive subjects (125 ± 6 and 74 ± 6 mm Hg, respectively); that was also true for the nighttime BP levels (109 ± 10 and 63 ± 13, respectively, in subjects with IOH and 108 ± 11 and 64 ± 12, respectively, in normotensive subjects). The BP levels in both groups were significantly (P<.001) lower than those in the sustained hypertensive group.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

Users' Guides to the Medical Literature
Clarifying Your Question

Users' Guides to the Medical Literature
Three Examples of Question Clarification