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Hypertension, Essential

Ronald N. Adler, MD, FAAFP and Jeremy Golding, MD, FAAFP Reviewed 06/2020
 


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 more aggressive guidelines issued by the ACC/AHA in 2017, many experts consider recommendations from JNC 8 (1)[A] to retain primacy.

  • Critics of the ACC/AHA guidelines note multiple me...

TREATMENT

GENERAL MEASURES

  • The treatment discussed follows JNC 8 guidelines. Recent systematic reviews and meta-analyses of randomized trials do not support recommendations for lower-than-standard targ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Reevaluate patients q3–6mo until stable and then q6–12mo. Consider use of home BP self-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 Nationa...

ADDITIONAL READING

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 with NNT to prevent one serious Major Adverse CV Events (MACE).

  • Treatment decisions should be informed by BP measured by proper technique; measures outside...

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