How is hypertension (high blood pressure) evaluated?

Updated: Feb 22, 2019
  • Author: Matthew R Alexander, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Answer

The evaluation of hypertension involves accurately measuring the patient’s blood pressure, performing a focused medical history and physical examination, and obtaining results of routine laboratory studies. [5, 6]  A 12-lead electrocardiogram should also be obtained. These steps can help determine the following [5, 6, 7] :

  • Presence of end-organ disease

  • Possible causes of hypertension

  • Cardiovascular risk factors

  • Baseline values for judging biochemical effects of therapy

Other studies may be obtained on the basis of clinical findings or in individuals with suspected secondary hypertension and/or evidence of target-organ disease, such as CBC, chest radiograph, uric acid, and urine microalbumin. [5]

See Workup for more detail.


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