What action is needed for a patient exhibiting white-coat hypertension after reporting controlled home blood pressure readings?

Ordering ambulatory blood pressure monitoring (ABPM) is an important step for a patient exhibiting white-coat hypertension. This condition refers to elevated blood pressure readings in a clinical setting that are not representative of the patient’s blood pressure at home, which may be controlled. ABPM provides a more accurate assessment of a patient’s blood pressure by recording measurements over 24 hours while the patient goes about their daily activities. This method helps differentiate between true hypertension and white-coat hypertension, allowing for informed clinical decisions regarding treatment.

By utilizing ABPM, healthcare providers can confirm the diagnosis, assess the circadian pattern of blood pressure changes, and evaluate whether any intervention is necessary. This approach can ultimately lead to better management strategies tailored to the patient's actual blood pressure profile, ensuring that unnecessary medications or interventions are not initiated without a clear understanding of the patient’s status.