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Impact of White-Coat Hypertension on Microvascular Complications in Type 2 Diabetes

Response to Eguchi et al.

  1. Caroline K. Kramer, MD,
  2. Cristiane B. Leitão, MD, PHD,
  3. Luís H. Canani, MD, PHD and
  4. Jorge L. Gross, MD, PHD
  1. From the Endocrine Division, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
  1. Corresponding author: Caroline Kaercher Kramer ckkramer{at}terra.com.br

Eguchi et al. (1), in their response to our study (2), point out that microvascular damage associated with white-coat hypertension may be the cause of increased blood pressure responses to daily stressors. This is a very interesting and original interpretation; however, the direction of the cause-and-effect relation between microvascular disease and blood pressure response to exercise can only be …

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