Clinical Inquiries

What is the initial work-up in the diagnosis of hypertension?

Author and Disclosure Information

 

References

Microalbuminuria. All panels listed microalbuminuria testing as an optional study for patients without diabetes because of its association with an increased incidence of cerebrovascular disease.12 It is unclear whether microalbuminuria results from the increased intraglomerular pressure in hypertension or if it represents glomerular damage.13

Sodium, calcium, uric acid. There is no consensus on the routine inclusion of several studies: serum sodium (recommended by 2 panels and an online text4,5,10 ), serum calcium (recommended by 1 panel and the text2,10), and uric acid (1 panel3 recommends it while the text10 lists it as optional).

Recommendations from others

Recommendations from major organizations are included in Evidence Summary, above.

Acknowledgments

The opinions and assertions contained herein are the private views of the author and are not to be construed as official, or as reflecting the views of the US Air Force Medical Service or the US Air Force at large.

Pages

Evidence-based answers from the Family Physicians Inquiries Network

Recommended Reading

Sitaxsentan Proves Effective in Pulmonary Arterial Hypertension : The phase III trial found that the 100-mg dose improved WHO functional class vs. placebo.
MDedge Family Medicine
First Inhaled Drug for PAH Approved
MDedge Family Medicine
Sitaxsentan Better Tolerated Than Bosentan as Oral PAH Therapy
MDedge Family Medicine
Sea Changes Predicted in Arrhythmia Management
MDedge Family Medicine
Heart Disease Risks Differ Among Black Women
MDedge Family Medicine
Classic Symptoms May Miss CHD in Younger Women
MDedge Family Medicine
Echo Data Help Predict Chest Pain Outcomes
MDedge Family Medicine
Scoring System Can Predict Cardiac Mortality
MDedge Family Medicine
Perfusion Scans Warrant Immediate Notification
MDedge Family Medicine
Women Undergoing Angioplasty for MI at High Risk
MDedge Family Medicine