Table 9. Evaluation of hypertensive patients: laboratory tests.
Laboratory tests |
Routine tests |
Hemoglobin and hematocrit |
Serum creatinine with estimated creatinine clearance (Cockroft-Gault formula) or glomerular filtration rate (Modification of Diet in Renal Disease formula) |
Serum sodium, potassium and calcium |
Fasting glucose and glycated hemoglobin A1c (HbA1c) |
Total cholesterol, LDL-cholesterol, HDL-cholesterol and triglycerides |
Serum uric acid |
Urinalysis |
Electrocardiogram |
Chest X-ray |
Recommended tests |
High-sensitivity C-reactive protein |
Quantitative microalbuminuria/proteinuria |
Fundoscopy or fundus camera |
Echocardiography |
Carotid ultrasound |
Ambulatory blood pressure monitoring |
Ankle-brachial index |
Pulse wave velocity |
Extended evaluations (domain of the specialist) |
Further investigations for cerebral, cardiac, renal and vascular damage: mandatory for complicated hypertension |
Search for secondary hypertension when suggested by history, physical examination or routine tests: measurement of renin, aldosterone, thyroid-stimulating hormone, corticosteroids, catecholamines in plasma and/or urine; angiographies; renal and adrenal ultrasound; computed tomography; magnetic resonance imaging |
HDL, high-density lipoprotein; LDL, low-density lipoprotein.