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Medical Disability Advisor  >  High Blood Pressure Benign  >  Rehabilitation

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

Rehabilitation


Although benign high blood pressure may appear to have no cause, elevated blood pressure is always considered a risk for related cardiovascular disease. The principles of aerobic conditioning in physical therapy were used to develop a program for high blood pressure, benign or malignant. Such a rehabilitation program occurs in several phases and follows a progression similar to that of other cardiac diseases.

At the initial rehabilitation stage individuals may be monitored for heart rate and rhythm and blood pressure while performing low-demand aerobic activities that use large muscle groups such as the lower extremities. Initial exercises will include calisthenics of varying intensity like marching in place or raising both arms overhead.

Rehabilitation professionals experienced in cardiac rehabilitation often keep a daily log of the individual's blood pressure, heart rate, and cardiac rhythm. Individuals with significantly high blood pressure are typically tested using electrocardiography (ECG) to record the continuous electrical activity of the heart muscle. Higher levels of exercises are given in addition to recreational activities such as swimming and hiking. Light jogging and cycling are appropriate as long as the individual tolerates the rehabilitation program well.

The later part of the program for benign high blood pressure involves aerobic exercises to increase cardiovascular fitness. These exercises include walking briskly, running, jogging, swimming, climbing stairs, or bicycling. According to the American Heart Association, this type of aerobic activity will help keep high blood pressure under control. Throughout all stages of the rehabilitation program for high blood pressure, the healthcare team monitors the individual closely to assure that the heart rate slowly returns to normal after exercises.

Source: Medical Disability Advisor






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