Routine tests
● Haemoglobin and haematocrit ● Fasting plasma glucose ● Serum total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol ● Fasting serum triglycerides ● Serum potassium and sodium ● Serum uric acid ● Serum creatinine ● Estimated glomerular filtration rate (eGFR) ● Urine analysis including a test for microalbuminuria ● 12-lead EKG |
Additional tests based on history, clinical examination and routine tests ● Haemoglobin A1c ● Quantitative proteinuria ● Out-of-office BP measurements* ● Echocardiogram ● Holter monitoring ● Carotid ultrasound ● Abdominal ultrasound ● Pulse wave velocity ● Ankle-brachial index ● Further specialist tests for secondary hypertension (renin, aldosterone, catecholamines and their metabolites etc) |
Ambulatory BP monitoring (ABPM) is recommended as the preferred method for measurement of “out-of-office” BPs to confirm high BP and to diagnose masked hypertension. Careful measurement of home BPs is acceptable when ABPM is not feasible.