Hypertensive Heart Disease?

ggoodman@virginiahospitalcenter.comggoodman@virginiahospitalcenter.com
in CDI Talk Archive
Hello!
I have a question regarding Hypertensive Heart Disease...

For patients who have both hypertension and heart failure, what indicators do you look for/when do you query for Hypertensive Heart Disease?

Thanks!
Greta

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Comments

  • catladyrncatladyrn
    edited March 2016
    Hey Dr. Gold,

    I don't know about Greta, but that's exactly what I've been needing to round out my training materials. Thanks!!!

    Renee

    Linda Renee Brown, RN, MA, CCDS, CCS, CDIP
    Director, Clinical Documentation
    Tanner Health System
  • annnd2009@gmail.comannnd2009@gmail.com
    edited March 2016
    Is there any increase connection when pulmonary HTN is present?...and speaking of pulmonary HTN - primary pulmonary HTN IS A CC and secondary pulmonary HTN is not a CC. What clinically might be seen in distinguishing types of pulmonary HTN?

    Thank you,
    Ann

  • Unknown
    edited March 2016
    Ann - it's important to find the cause of any abnormality in function of the organs. In the case of secondary causes of pulmonary hypertension, the designation of the cause is often the modifier you're looking for from a financial perspective. From my perspective, it tells the record what's wrong with the patient, and that's the primary goal. Read http://emedicine.medscape.com/article/303098-overview#a5

    Here you'll see a categorization of primary causes (which includes idiopathic) and secondary causes. Run the secondary causes through the grouper and you'll see a wide variety of effects.

    Robert S. Gold, MD
    CEO, DCBA, Inc
    4611 Brierwood Place
    Atlanta, GA 30360
    (770) 216-9691 (Office)
    (404) 580-0204 (Cell)

  • Unknown
    edited March 2016
    Oh, and pulmonary hypertension is totally unrelated to hypertensive heart disease or hypertensive cardiomyopathy as HHD refers to systemic hypertension.

    Robert S. Gold, MD


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