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Hypertension Management

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  1. See Also
    1. Hypertension
    2. Hypertension Criteria
    3. Hypertension Evaluation
    4. Hypertension Risk Stratification
  2. Management: General Guidelines
    1. See patients back at one month after starting agent
      1. Significantly improves compliance
      2. BP requires 1 month on agent to equilibrate
    2. Maximize compliance
      1. Work with patients to reduce adverse effects
      2. Switch to other agents if adverse effects significant
    3. Do not be overzealous
      1. Risk of overcorrection of Blood Pressure
      2. Avoid lowering diastolic pressure <70 mmHg
      3. Greater tolerance for elevated BP with increased age
        1. Study of 484 Swedish men over 70 from 1982-1992
        2. Risk if Diastolic Blood Pressure lowered below 90
          1. Increased cardiac event risk 3.9x
          2. Controlled for confounding factors
        3. Reference
          1. Merlo (1996) BMJ 313:457
    4. Medications that prevent Hypertension vascular sequelae
      1. Beta-Blockers
      2. Diuretics
      3. ACE Inhibitors
      4. Calcium Channel Blockers
    5. Medications that prevent Left Ventricular Hypertrophy
      1. Most effective at reduced LVH risk
        1. ACE Inhibitors
        2. Diuretics
        3. Beta-Blockers
      2. Least effective at reduced LVH risk
        1. Prazosin
        2. Clonidine
        3. Diltiazem
      3. Reference
        1. Gottdiener (1997) Circulation 95:2007
  3. Management: Protocol
    1. See Hypertension Risk Stratification
    2. See Hypertension Reduction Goal
  4. Management: Strategies
    1. Hypertension General Measures
    2. Antihypertensive Selection
    3. Hypertension Combination Therapy
    4. Hypertension Management for Specific Comorbid Diseases
    5. Hypertension Management for Specific Populations
    6. Hypertension Management for Specific Emergencies
  5. References
    1. (2000) Lancet 356:1955

Hypertensive disease (C0020538)

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 (CSP)persistantly high arterial blood pressure.
Definition (NCI)Abnormally high blood pressure.
Definition (NCI)Pathological increase in blood pressure; a repeatedly elevated blood pressure exceeding 140 over 90 mmHg.
ConceptsDisease or Syndrome (T047)
ICD9401-405.99, 997.91
MSHD006973
EnglishBLOOD PRESSURE HIGH, BP - High blood pressure, BP+ - Hypertension, HBP - High blood pressure, high blood pressure, High blood pressure disorder, High Blood Pressures, HT - Hypertension, HTN, HTN - Hypertension, Hyperpiesia, Hyperpiesis, Hypertension, HYPERTENSION ARTERIAL, Hypertensive disease, Hypertensive disorder, Hypertensive vascular degeneration, Hypertensive vascular disease, Increased blood pressure, SURG COMP - HYPERTENSION, Systemic arterial hypertension, Systemic hypertension, vascular hypertension, Vascular Hypertensive Disorder
Spanishdegeneracion vascular hipertensiva, enfermedad hipertensiva, enfermedad vascular hipertensiva, hiperpiesia, hiperpiesis, hipertension arterial, presion arterial alta, tension arterial alta, tension arterial elevada
Parent ConceptsHypertensive disease (C0020538), Circulatory system disease NOS (C0728936), Cardiovascular Diseases (C0007222), Blood Pressure Disorders (C0542302), sympathomimetic disorder (C1323099), Complications affecting other specified body systems, NEC in ICD9CM_2008 (C0302415), Vascular Diseases (C0042373), Blood pressure finding (C1271104), Systemic arterial finding (C0577829), Arteriopathic disease (C0852949), Ambiguous concept (C1274012), Duplicate concept (C1274013)
SourcesAOD, CCS, COSTAR, CSP, CST, DXP, ICD9CM, LCH, LNC, MEDLINEPLUS, MSH, MTH, NCI, NDFRT, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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