Table 7.
Test | Examination |
---|---|
Routine test | 12-Lead electrocardiogram |
Urinalysis (proteinuria, hematuria, and glucosuria) | |
Hemoglobin, hematocrit | |
K+, creatinine, eGFRa), and uric acid | |
Fasting glucose, lipids (total cholesterol, high-density lipoprotein-cholesterol, low-density lipoprotein-cholesterol, and triglyceride) | |
Chest X-ray | |
Microalbuminuriab) (albumin/creatinine [a random urine sample]) | |
Recommended test | 75 g oral glucose tolerance test or hemoglobin A1c (if fasting glucose ≥100 mg/dL) |
Transthoracic echocardiography | |
Carotid ultrasound (plaque) | |
Ankle-brachial blood pressure index | |
Pulse wave velocity | |
Fundoscopy (mandatory in diabetes) | |
24-hr urine protein excretion | |
Cystatin Cc) | |
Extended test | Search for subclinical organ damage (brain, heart, kidney, and vessels) |
Search for secondary causes of hypertension |
eGFR, estimated glomerular filtration rate
a)By CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) equation; b)eGFR < 60 mL/min/1.73m2, a follow-up interval of 3 to 6 months is recommended; c)Useful for evaluating renal function in younger men with high muscle mass or older women with low muscle mass