I am worried about my dad who is 65. He had his BP taken and it was 230 / 104 and he kept saying the Dr's machine was faulty so he bought one for himself and his BP was 210/100. Someone told him about White coat syndrome and he said its just nerves. He is flying out soon on a holiday and I heard high BP while flying can increase the risk of stroke. Over the past week its been 190 / 98 but not any lower.
Does he need medication and does white coat syndrome increase BP that high?

thanks everyone!
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replied July 5th, 2018
Hello and welcome to EHF,

I appreciate your concern for your father's health.

The definition of white coat syndrome is that when a person's blood pressure value is higher in a doctor's office than in any other setting e.g home or somewhere else,where he is relaxed.

In my professional opinion,he does need blood pressure medication because his BP is persistently high, both at home and in the doctor's office,which means it's not white coat syndrome.

He can ask for a 24 hours ambulatory BP monitoring,if he's not convinced that he's actually hypertensive before starting any antihypertensive drug.

I hope this is helpful,

Wishing you the best of health.

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