Hypertension, Essential

Ronald Adler, MD and Jeremy Golding, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Essential hypertension (HTN) is HTN without an identifiable cause; it is also known as primary HTN and benign HTN. Although its importance as a risk factor for cardiovascular and oth...

DIAGNOSIS

Despite 2017 guidelines suggested by the ACC/AHA (3)[C] (heavily influenced by the findings of SPRINT which was conducted in a relatively high-risk population and therefore less applicable t...

TREATMENT

GENERAL MEASURES

  • The treatment discussed follows JNC 8 guidelines. Some recent studies (e.g., SPRINT) have concluded that more intensive therapy may be warranted for certain high-risk individ...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Reevaluate patients q3–6mo until stable and then q6–12mo. Consider use of home self-BP monitoring; quality-of-life issues including sexual funct...

REFERENCES

1 James PA, Oparil S, Carter BL, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint Natio...

SEE ALSO

Hypertension, Secondary and Resistant; Hypertensive Emergencies; Polycystic Kidney Disease 

CODES

ICD10

I10 Essential (primary) hypertension 

ICD9

  • 401.9 Unspecified essential hypertension

  • 401.1 Benign essential hypertension

SNOMED

  • 59621000 Essential hypertension (disorder)

  • 1201005 Benign essential ...

CLINICAL PEARLS

  • Treatment of HTN reduces risk of many serious medical conditions with numbers needed to treat to prevent one serious event (e.g., stroke or myocardial infarction) ranging from ~20 pati...

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