Examination of patients with hypertension.

Examination of patients with hypertension.
Newly diagnosed patients with hypertension, in addition to blood pressure, there are some physical indicators need to be clear. Because hypertension is often combined with other chronic diseases, and blood pressure on the body’s harm is systemic, through a number of tests can determine whether the high blood pressure has caused damage to the body. The following examination is needed to be done in newly diagnosed patients with hypertension.
Abnormal blood routine, suggesting increased disease secondary hypertension, hyperthyroidism can also indicate the real red blood cell; hypertension is very serious, has caused renal failure, leading to renal anemia.
Urine routine. Abnormal urine routine, secondary hypertension suggests the presence of glomerulonephritis, chronic pyelonephritis caused by. If the urine of the patients with proteinuria, suggesting that the high blood pressure combined with early renal damage, the treatment of key in addition to blood pressure, should improve renal function.
Fasting blood glucose. The significance of the examination lies in the timely detection of diabetes, if the patient has diabetic nephropathy, newly diagnosed hypertension may be caused by diabetes. Hypertension combined with diabetes is a dangerous combination, the occurrence of cardiovascular risk is the general population of 4 to 8 times, the total mortality increased by 4 ~ 5 times.
Lipids. If the exception, it is suggested that hypertension may be combined with coronary heart disease, cerebral infarction, easy to induce cardiovascular and cerebrovascular events, it is recommended that this part of the patient detailed examination, even after the examination did not find cardiovascular and cerebrovascular disease, should also be given antihypertensive treatment, coronary heart disease, stroke will be high.
Blood potassium. Hypertension and hypokalemia prompt primary aldosteronism, and with hyperkalemia prompted abnormal renal function, can according to the diagnosis, selection of special treatment.
Serum uric acid. Hypertension associated with high blood uric acid may be caused by gout nephropathy. It should be noted that high blood uric acid may increase the risk of cardiovascular disease. At the time of treatment, do not use double hydrogen chlorothiazide increased uric acid drugs.
Serum creatinine. Hypertension associated with creatinine abnormalities suggest that patients with abnormal renal function, showing that high blood pressure at high risk or high risk. If the patients with uremia, the effect is poor, the need to help dialysis treatment.
Homocysteine levels. Hypertension with high homocysteine also known as H type hypertension, suggesting that the risk of stroke is high, at the same time, can take folic acid, combined treatment can achieve good results.
Electrocardiogram. This examination can be found in the early detection of high blood pressure on heart injury, and through the observation of myocardial ischemia, arrhythmia, evaluation of risk.

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