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I am a male of 29 years age. I was normal until only two years ago, I unintentionally measured by B.P and it came a little bit on higher side. Then I went to doctor and he also checked my B.P and it came a little on higher side. Then the doctor advised me to go for 24 hours ambulatory blood pressure monitoring and it came out to be normal but initial readings were high. Then doctor told me that you have white coat effect. I become nervous whenever someone else checks my b.p whether at home or in a clinical setting and my b.p comes out on higher side. But whenever I am alone and I record my B.P on automatic B.P monitor, it comes out to be normal and most of the times below 120/80. But from the last one year I feeling slight tinges near my heart and I feel that that my heart is beating against my chest but not to that extent but when I put my hand near hand, I can feel my heat beating sharply and like against my chest. I did an ECG and it showed left ventricular hypertrophy but showed that it might be some voltage criteria. Then I did an ECHO and it came out to be perfectly normal. But still I feel that there is something wrong with my heart and I continuously feel some tinges in my heart. Doctors first put me on petril beta and then other put me on concor 5 mg along with some anti depressants. Currently the cardiologist has put me on stalopam 5 mg and clonazepam 0.25 mg. That is all. But still I feel that I am not healthy and I always fear that there is something wrong with my heart and that might be due to high bp. Please help me and please tell me that whether automatic bp monitors from which I measure bp at home are accurate or not. Please help me.
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White coat hypertension means only have anxiety related BP and automatic BP monitoring device is only for a screening The term ?white coat? comes from references to the white coats traditionally worn by doctors. The white coat effect means that your blood pressure is higher when it is taken in a medical setting than it is when taken at home. On average, when your blood pressure is taken at home the top (systolic) number can be around 10 mmHg lower than it would be if taken by a doctor and 5 mmHg lower on the bottom (diastolic) number. For some people this difference can be even greater.
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