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Medical Disability Advisor  >  High Blood Pressure Benign  >  Failure To Recover

High Blood Pressure, Benign

Related Terms

  • Benign Hypertension
  • Essential Hypertension
  • High Blood Pressure
  • Hypertension
  • Primary Hypertension

Differential Diagnoses

Specialists

  • Cardiovascular Internist
  • Internal Medicine Physician
  • Radiologist

Comorbid Conditions

  • Cardiovascular disease or other heart irregularities
  • Diabetes
  • Kidney disease
  • Obesity
  • Sedentary lifestyle

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Factors Influencing Duration

Length of disability may be influenced by the cause and severity of the hypertension, response to treatment, and whether or not the individual is compliant with treatment recommendations for lifestyle changes and drug therapy. Complications may produce a period of disability. Certain types of employment, such as those jobs requiring a CDL or pilots license, may experience a longer duration.

Duration Trends from Reference Data

DURATION TRENDS
 ICD-9-CM: 401  
CasesMeanMinMaxNo Lost TimeOver 6 Months
22663101741.9%0%
 
  
 
Percentile:5th25thMedian75th95th
Days:311204092
 
  
 

DURATION TRENDS
 ICD-9-CM: 401.1, 401.9  
CasesMeanMinMaxNo Lost TimeOver 6 Months
54734201720.3%0%
 
  
 
Percentile:5th25thMedian75th95th
Days:7153058124
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

ICD-9-CM:
401 - Hypertension, Essential
401.1 - High Blood Pressure, Benign
401.9 - Essential Hypertension, Unspecified

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • Does the individual have a family history of hypertension?
  • Does the individual smoke, use salt, or have a sedentary lifestyle?
  • Is the individual overweight?
  • Is the individual's cholesterol elevated?
  • Does the individual complain of headache, dizziness, irregular heartbeat, tiring easily, sexual dysfunction, nosebleeds, chest pain, or shortness of breath?
  • Are medications or emotional or environmental factors contributing to hypertension?
  • Are blood pressure readings elevated consistently?
  • Does the individual have distension of neck veins, enlarged thyroid, heart murmur(s), or changes in the eyes?
  • Has a urine analysis been done?
  • Have blood tests, including a test for renin, which often identifies an increase in the chemical that narrows blood vessels (angiotensin) been done?

Regarding treatment:

  • Has the individual attempted to make lifestyle changes?
  • Does the individual require assistance such as a weight loss program, counseling with a dietitian, an exercise regimen designed for the individual, or a cease smoking program?
  • What drug has the individual taken? Has the dosage been increased?
  • Is another drug of the same class required?
  • Is a drug in a different class required?
  • Is noncompliance with the treatment regimen an issue?
  • What second or third drug has been added to the individual's drug regimen?
  • Is noncompliance with the treatment regimen an issue?

Regarding prognosis:

  • Is the individual adhering to recommended lifestyle changes and to the prescribed drug regimen?
  • Does the individual understand the potential risks of untreated hypertension, including heart disease, stroke, kidney disease, and diabetes? If not, would education encourage compliance with recommended treatment?

Source: Medical Disability Advisor


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