How is hypertension Medscape diagnosed?

How is hypertension Medscape diagnosed?

Diagnosis of hypertension 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. A 12-lead electrocardiogram should also be obtained.

How do you diagnose a diagnosis of hypertension?


  1. Ambulatory monitoring. This 24-hour blood pressure monitoring test is used to confirm if you have high blood pressure.
  2. Lab tests. Your doctor may recommend a urine test (urinalysis) and blood tests, including a cholesterol test.
  3. Electrocardiogram (ECG or EKG).
  4. Echocardiogram.

What is the diagnostic criterion for a diagnosis for HTN?

Hypertension is diagnosed when blood pressure consistently measures >130 mmHg systolic and >80 mmHg diastolic.

Which test should be performed upon initial diagnosis of hypertension?

Patients with a new diagnosis of hypertension should be evaluated with a history and physical exam and the following initial studies: serum potassium and creatinine, fasting serum glucose and lipid panel, hematocrit, urinalysis, and electrocardiogram (strength of recommendation [SOR]: C, based on a consensus of expert …

What lab values indicate hypertension?

Elevated BP: Systolic is between 120 and 129 mmHg; diastolic less than 80. Stage 1 High BP: Systolic is 130–139 mmHg or your diastolic is between 80-89. Stage 2 High BP: 140 or greater systolic, or 90 or greater diastolic.

How do you classify hypertension?

To prevent and treat hypertension, BP should first be categorized as normal (less than 120 mm Hg systolic and less than 80 mm Hg diastolic), elevated (120 to 129 mm Hg systolic and less than 80 mm Hg diastolic), stage 1 hypertension (130 to 139 mm Hg systolic or 80 to 89 mm Hg diastolic), or stage 2 hypertension (at …

What qualifies as hypertension?

People with high blood pressure, or hypertension, have a systolic pressure of 130 millimeters of mercury (mm Hg) or higher, or a diastolic pressure of 80 mm Hg or higher.

What is diagnostic blood pressure?

A blood pressure test diagnoses elevated blood pressure. This often involves an inflatable arm cuff placed around your arm and a pressure-measuring gauge. A blood pressure reading, given in millimeters of mercury (mm Hg), has two numbers.

What blood test are looked at for hypertension?

Blood tests, including measurement of electrolytes, blood urea nitrogen, and creatinine levels (to assess kidney involvement) Lipid profile for levels of various kinds of cholesterol. Special tests for hormones of the adrenal gland or thyroid gland. Urine tests for electrolytes and hormones.

Can a blood test show hypertension?

Laboratory testing is not diagnostic for hypertension, but tests are frequently ordered to detect conditions that may cause and/or make high blood pressure worse and to evaluate and monitor organ function over time.

What labs to check for hypertension?

Overview. Routine lab tests are recommended before beginning treatment of high blood pressure to determine organ or tissue damage or other risk factors. These lab tests include urinalysis, blood cell count, blood chemistry (potassium, sodium, creatinine, fasting glucose, total cholesterol and HDL cholesterol ), and an ECG (electrocardiogram).

What is the treatment for secondary hypertension?

The treatment of secondary hypertension depends on its cause. When secondary hypertension results from a tumor or a blood vessel abnormality, surgery may be recommended. However, the decision to do surgery is often guided by the age and general health of the patient.

What are lab tests for hypertension?

Initial tests for hypertension. Initial lab tests should include: Use a 12-lead electrocardiogram to look for left ventricular hypertrophy (LVH), using voltage criteria. Urinalysis is to measure protein and blood levels in urine.

What is a diagnostic test for hypertension?

Blood tests that may be ordered to assist in the diagnosis of hypertension include: Electrolyte levels. Blood glucose. Thyroid function tests. Kidney function tests: blood urea nitrogen (BUN) and creatinine levels.