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BP codes

BP Exception code (Added in the last 15 months)

8I3Y. Blood pressure procedure refused

Maximum BP therapy (Added in last 15 months)

8BL0. Patient on maximal tolerated antihypertensive therapy

BP Codes (Added in last 15 months)

The latest Systolic <=150 and Diastolic <=90

246% O/E - blood pressure reading,

Excluding:

2460 O/E - BP unrecordable (v7)
2468. O/E - BP reading:postural drop
246H. O/E - Arterial pressure index normal
246I. O/E - Arterial pressure index abnormal
246K. Target systolic blood pressure
246L. Target diastolic blood pressure
246M. White coat hypertension

In detail:

246. O/E - blood pressure reading
2461. O/E - BP reading very low
2462. O/E - BP reading low
2463. O/E - BP borderline low
2464. O/E - BP reading normal
2465. O/E - BP borderline raised
2466. O/E - BP reading raised
2467. O/E - BP reading very high
2469. O/E - Systolic BP reading
246A. O/E - Diastolic BP reading
246B. O/E - BP stable
246C. Lying blood pressure reading
246D. Standing blood pressure reading
246E. Sitting blood pressure reading
246F. O/E - blood pressure decreased
246G. O/E - BP labile
246J. O/E - BP reading: no postural drop
246N. Standing systolic blood pressure
246P. Standing diastolic blood pressure
246Q. Sitting systolic blood pressure
246R. Sitting diastolic blood pressure
246S. Lying systolic blood pressure
246T. Lying diastolic blood pressure
246Z. O/E-blood pressure reading NOS

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CHD 6.1 Rationale

The British Hypertension Society guidelines propose an optimal blood pressure of 140 mm Hg or less systolic and 85 mm Hg or less diastolic for patients with CHD. This guideline also proposes a pragmatic audit standard of a blood pressure reading of 150/90 or less.

Further Information: (www.bhsoc.org/NICE_BHS_Guidelines.stm).

A major overview of randomised trials showed that a reduction of 5–6 mm Hg in blood pressure sustained over five years reduces coronary events by 20–25% in patients with coronary heart disease (Collins et al. Lancet 1990; 335: 827–38).

CHD 6.2 Reporting and verification

Practices should report the percentage of patients on the CHD register whose last recorded blood pressure is 150/90 or less. This reading should have been taken in the previous 15 months.

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Prepared By Jean Keenan