Skip to main content

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.