Pseudohypertension of the Elderly | Medical Algorithm

Evaluation

Are you evaluating a patient with hypertensive blood pressure readings?

Yes

Were the blood pressure readings taken using a blood pressure cuff over the upper arm?

Yes

Has the patient's blood pressure failed to respond as expected to blood pressure medications?

Yes

Does the patient have evidence of diffuse arterial sclerosis?

Yes

Is the intra-arterial blood pressure significantly lower than that determined by sphygmomanometry?

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings suggesting pseudohypertension

Should you suspect pseudohypertension in this patient?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Systolic Hypertension
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
Failure Handling, When To Refer
- Indications to Refer Patient with Hypertension to Specialist

Therapy

Options
- Management of Hypertension in African Americans
Selection
- Risk Score of Pocock et al for Death from Cardiovascular Disease in Adults with Raised Blood Pressure
- Indications to Refer Patient with Hypertension to Specialist
Pharmacogenetics
Dosage Calculations
- Aldosterone Breakthrough in Patient Receiving ACE Inhibitor or ARB Therapy for Hypertension
Dosage Adjustments
- Rebound Hypertension on Discontinuation of Beta-Blockers or Other Medications
Diet
- Management of Hypertension in African Americans
Physical And Lifestyle
- Hypertension Lifestyle Modifications
- Blood Pressure Control in Patient with Diabetes Mellitus
Failure Handling And Therapy Escalation
- Causes and Risk Factors for Resistant Hypertension
Prevention

Monitoring

Response To Therapy
Adverse Effects
Overdose And Reversal
- Causes of Secondary Hypertension
Comorbid Conditions

Patient Concerns

Quality Of Life
- Blood Pressure Control in Patient with Diabetes Mellitus
Psychological Response
- White Coat Hypertension

Specialty

Cardiology

Objective

differential diagnosis and mimics
red flags

ICD-10

R03.0 - Elevated blood-pressure reading, without diagnosis of hypertension

Pseudohypertension Associated with Noncompressible Brachial Artery (Pseudohypertension of the Elderly)

Purpose: To evaluate a patient for pseudohypertension associated with diffuse hardening of the arteries.