Hypertension health check list of items

Clinical Hypertension patient, in addition to detailed questioning history, but also a comprehensive medical examination, particularly to do some accessibility checks in order to determine the cause and secondary hypertension judge hypertension on target-organ damage.

Secondary checks in General, regular inspections and special inspections.

(1) regular checking:

① Renal including urine (urine specific gravity, microscopic examination of urine protein and urine), serum creatinine, urea, uric acid, CO 2 binding force.

② sugar metabolism, including fasting blood sugar and blood glucose two hours after meals, insulin, insulin release test.

③ fat metabolism such as plasma cholesterol, triglycerides, HDL, LDL, APO, etc.

④ electrolyte checks such as serum potassium, sodium, chlorine, calcium, etc.

⑤ other electrocardiogram, chest is bit slices, IVP.

(2) a special check:

Hypertension after questioning history, physical examination and general accessibility checking, suspected secondary hypertension, should also be some necessary special check.

For example, ① suspected primary aldosteronism: check the electrolyte and acid-base balance, determination of aldosterone, plasma Renin activity can be radioactive iodine cholesterol adrenal photography or scan, ultrasound, magnetic resonance of adrenal CT, adrenal picture and adrenal venography. ② suspected pheochromocytoma: determination of urinary Catecholamines and metabolites, if necessary, you can do with b-CT scan, MRI picture, mibg blink scanning and venous catheter, select order multiple blood sampling for the determination of Catecholamines. ③ suspected Cushing Syndrome: determination of serum and urinary cortisol and urinary 17-hydroxy corticosteroid, small-dose dexamethasone suppression test, etc.

Incidence of hypertension in diabetic patients the chance of a non-diabetic patients are high, and high blood pressure in patients with diabetes are more likely than patients with hypertension, and diabetes and hypertension are risk factors for coronary heart disease.

Both diabetes and high blood pressure, or hypertension and diabetes, the disease development and progression are adversely affected. Determination of blood glucose and urine help early detection of diabetes.

Determination of blood glucose can distinguish primary and secondary hypertension, cause endocrine diseases cause of high blood pressure, such as primary hyperaldosteronism, pheochromocytoma and Cushing's syndrome, often accompanied by high blood glucose.

Part of antihypertensive drugs on glucose metabolism in the determination of adverse impact, the ability to monitor blood glucose changes of antihypertensive agents produce side effects, avoidance of undue complications such as diuretics in the treatment of high blood pressure often hyperglycemia during.

Determination of blood glucose and urine helps hypertension patients choice of antihypertensive drugs, such as sympathetic Blocker on the part of patients with diabetes mellitus, hypertension is invalid and vasodilator effect

(Practice editing: plum and apricot)