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Hypertension Evaluation History

Aka: Hypertension Evaluation History
  1. History: Past Medical History
    1. Severity of Hypertension with Blood Pressure log
    2. Onset of Hypertension
      1. Age <12: Associated with secondary Hypertension in >70% of cases
      2. Age 12-18: Associated with secondary Hypertension in 10-15% of cases
      3. Age 19-39: Associated with secondary Hypertension in 5% of cases
      4. Age 40-64: Associated with secondary Hypertension in 8-12% of cases
      5. Age >65: Associated with secondary Hypertension in 17% of cases
      6. Viera (2010) Am Fam Physician 82(12): 1471-8
  2. History: Family History
    1. Hypertension
    2. Kidney disease
  3. History: Medications
    1. See Medication Causes of Hypertension
  4. History: Habits
    1. Salt intake
    2. Fat intake
    3. High caloric intake contributing to Obesity
    4. Alcohol use
    5. Tobacco Use
    6. Recreational drugs of abuse
      1. Cocaine
      2. Methamphetamine
  5. History: Lead Exposure Risk
    1. Lead paints
    2. Printer inks
    3. Inhalation risks
    4. Postmenopausal women
      1. Lead increases due to skeletal lead mobilization
      2. Nash (2003) JAMA 289:1523-32
  6. History: Symptoms of Urinary tract Disease
    1. Urinary Tract Infection
    2. Nephrolithiasis (or Hypercalcemia)
    3. Benign Prostatic Hypertrophy
  7. Findings: Evidence of Endocrine Disease
    1. Diabetes Mellitus
    2. Hyperthyroidism
    3. Hypothyroidism
    4. Hyperparathyroidism (Hypercalcemia)
      1. Confusion
      2. Major Depression
      3. Abdominal Pain
      4. Nephrolithiasis
      5. Constipation
    5. Cushing's Disease
      1. Acne Vulgaris
      2. Osteoporosis
      3. Bone Fractures
      4. Glucose Intolerance
    6. Aldosteronism
      1. Hypokalemia
      2. Muscle Weakness
      3. Paresthesias
      4. Tetany
    7. 11-Hydroxylase deficiency
      1. Premature virilization in males
      2. Masculinization in females
    8. 17-Hydroxylase deficiency
      1. Failed sex maturation
    9. Pheochromocytoma
      1. Sweating
      2. Tremor
      3. Panic
      4. Facial pallor
      5. Headache
      6. Weight loss
  8. Findings: Evidence of Neurologic Disease
    1. Previous Neurologic disease or symptoms
    2. Headaches
    3. Confusion
    4. Seizures
  9. Findings: Evidence of Cardiovascular disease
    1. Coronary Artery Disease
    2. Congestive Heart Failure
    3. Amaurosis Fugax
    4. Claudication
    5. Renal Artery Stenosis
  10. Findings: Evidence of Sleep Disorder
    1. Sleep Apnea
    2. Exaggerated snoring
    3. Inappropriate sleep episodes

Hypertensive disease (C0020538)

Definition (NCI) A disorder characterized by a pathological increase in blood pressure; a repeatedly elevation in the blood pressure exceeding 140 over 90 mm Hg.
Definition (MEDLINEPLUS)

Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps out blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure.

Your blood pressure reading uses these two numbers, the systolic and diastolic pressures. Usually they are written one above or before the other. A reading of

  • 120/80 or lower is normal blood pressure
  • 140/90 or higher is high blood pressure
  • Between 120 and 139 for the top number, or between 80 and 89 for the bottom number is prehypertension

High blood pressure usually has no symptoms, but it can cause serious problems such as stroke, heart failure, heart attack and kidney failure. You can control high blood pressure through healthy lifestyle habits and taking medicines, if needed.

NIH: National Heart, Lung, and Blood Institute
Definition (NCI) A blood pressure of 140/90 or higher. High blood pressure usually has no symptoms. It can harm the arteries and cause an increase in the risk of stroke, heart attack, kidney failure, and blindness.
Definition (CSP) persistantly high arterial blood pressure.
Definition (MSH) Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.
Definition (NCI) Pathological increase in blood pressure; a repeatedly elevated blood pressure exceeding 140 over 90 mmHg.
Concepts Disease or Syndrome (T047)
MSH D006973
ICD9 997.91, 401-405.99
ICD10 I10-I15.9, I10, I10-I15
SnomedCT 38341003, 155295004, 194756002, 155302005, 266287006, 195537001, 194794002, 194757006, 194760004
English Hypertension, BLOOD PRESSURE HIGH, HYPERTENSION, HYPERTENSION ARTERIAL, HYPERTENSIVE DISEASES, Hypertension, NOS, Hypertensive disease, NOS, Hypertensive disease NOS, Hypertensive diseases, [X]Hypertensive diseases, hypertension, Hypertension, arterial, Hypertensive cardiovascular disease or syndrome, Systemic hypertension, Hypertensive disorder, systemic arterial, hyperpiesia, hyperpiesis, systemic HTN, systemic hypertension (diagnosis), systemic hypertension, hypertensive disorder, vascular hypertension, 3-02 HYPERTENSIVE DISEASES, hbp, high bp, htn, (Hypertensive disease) or (hypertension) (disorder), Hypertensive disease (disorder), Hypertensive disease NOS (disorder), Hypertension arterial, Blood pressure high, HBP, HT, Hypertension NOS, [X]Hypertensive diseases (disorder), Surg comp - hypertension, HTN, HIGH BLOOD PRESSURE, PRESSURE, HIGH BLOOD, BLOOD PRESSURE, HIGH, High Blood Pressure, INCREASED BLOOD PRESSURE, BLOOD PRESSURE, INCREASED, Hypertension [Disease/Finding], hypertensive vascular disease, arterial hypertension, arterial hypertension systemic, blood high pressure, high blood pressure disorder, systemic arterial hypertension, hypertensive disease, Hypertensive diseases (I10-I15), high blood pressure, High blood pressure, Hyperpiesia, Hyperpiesis, Hypertensive vascular degeneration, Hypertensive vascular disease, BP - High blood pressure, High blood pressure disorder, Systemic arterial hypertension, HBP - High blood pressure, BP+ - Hypertension, HT - Hypertension, Hypertensive disorder, systemic arterial (disorder), Hypertensive disorder, HTN - Hypertension, blood pressure; high, high; arterial tension, high; blood pressure, (Hypertensive disease) or (hypertension), Raised blood pressure (disorder), Blood Pressure, High, Blood Pressures, High, High Blood Pressures, Vascular Hypertensive Disorder, Hypertensive disease, HYPERTENSIVE DISEASE
French HYPERTENSION ARTERIELLE, Pression artérielle élevée, PAH, Hypertension SAI, TH, HYPERTENSION, TENSION ARTERIELLE E, Hypertension chronique, Hypertension permanente, Hypertension artérielle, Hypertension
Portuguese HIPERTENSAO, Hipertensão arterial NE, Hipertensão arterial, Pressão arterial alta, HYPERTENSAO ARTERIAL, PRESSAO SANGUINEA ELEVADA, Pressão Arterial Alta, Pressão Sanguínea Alta, Hipertensão
Spanish HIPERTENSION, PRESION SANGUINEA ALTA, Presión sanguínea alta, HTA, Hipertensión NEOM, Hipertensión arterial, HT, Hypertension, Hypertensive disease, High blood pressure, (Hypertensive disease) or (hypertension), Hypertension NOS, HIPERTENSION ARTERIAL, [X]enfermedades hipertensivas (trastorno), [X]enfermedades hipertensivas, Hypertensive disease NOS, degeneración vascular hipertensiva, enfermedad hipertensiva, SAI (trastorno), enfermedad hipertensiva, SAI, enfermedad hipertensiva, enfermedad vascular hipertensiva, hiperpiesia, hiperpiesis, hipertensión arterial (trastorno), hipertensión arterial, presión arterial alta, tensión arterial alta, tensión arterial elevada, Hipertension, Hipertensión, Presión Sanguínea Alta, Presion Sanguinea Alta
German HYPERTONIE, Hypertonie, arteriell, Blutdruck, hoch, HBP, HT, Hypertonie NNB, BLUTDRUCK HOCH, HYPERTONIE ARTERIELL, Hypertension, Hypertonie
Dutch hypertensie NAO, hoge bloeddruk, arteriële hypertensie, bloeddruk; hoog, hoog; arteriële druk, hoog; bloeddruk, hypertensie, Bloeddruk, hoge, Hypertensie
Italian Ipertensione (HT), Ipertensione NAS, Pressione del sangue elevata, Ipertensione, Pressione sanguigna alta, Ipertensione arteriosa
Japanese 動脈性高血圧, 高血圧ＮＯＳ, ｺｳｹﾂｱﾂ, ｺｳｹﾂｱﾂNOS, ﾄﾞｳﾐｬｸｾｲｺｳｹﾂｱﾂ, 高血圧, 高血圧症
Swedish Högt blodtryck
Czech hypertenze, Arteriální hypertenze, Vysoký krevní tlak, Hypertenze NOS, Hypertenze, vysoký krevní tlak
Finnish Kohonnut verenpaine
Russian GIPERTENZIIA, GIPERTONICHESKAIA BOLEZN', KROVIANOE DAVLENIE VYSOKOE, ГИПЕРТЕНЗИЯ, ГИПЕРТОНИЧЕСКАЯ БОЛЕЗНЬ, КРОВЯНОЕ ДАВЛЕНИЕ ВЫСОКОЕ
Croatian HIPERTENZIJA
Polish Nadciśnienie
Hungarian Arteriás hypertonia, Hypertensio, HT, RR magas, Hypertonia k.m.n., Magas vérnyomás
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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