Which blood investigation are required for primary hypertension ?
Primary hypertension indicate that there is no underlying cause for hypertension, causes of secondary hypertension such as renal hypertension, hyperaldosteronism, Hyperthyroidism, pheochromocytoma, Cushing disease have been ruled out Now for primary hypertension, one should look for factors which cause primary hypertension Example Diabetes - check HbA1c, fasting and post lunch blood sugar Dyslipidemia - check lipid profile Obesity - check body mass index Check for complications related to hypertension 2 D Echo to look for heart failure ECG to look for ischaemic heart disease
Primary hypertension Investigations advised Cbc esr Urine routine Bsl f and pp Sr creatinine and bul Sr cholestrol Tg hdl and lipid profile Urine for homocysteine Ecg and 2decho TFT Xray chest If possible peripheral vascular aging
* CBS .. * URINE ROUTINE.. * HBA1C .. * HOMOCYSTEINE .. * KFT .. * LIPID PROFILES.. * ECG STUDY.. 2D ECHO STUDY.. * HORMONAL STUDY..
Urinalysis with sp gr... is a must... also ACR. ECG CBC OPHTHALMOSCOPY... to see retinal changes. Cxr RFT LIPID PROFILE. Glycemic profile.. bg f. Pp. HbA1c Renal usg Vma in 24 hrs urine
These lab tests include urinalysis, blood cell count, blood chemistry (potassium, sodium, creatinine, fasting glucose, total cholesterol and HDL cholesterol), and an ECG (electrocardiogram). Additional tests may be recommended based on your condition
CBC, CRET, HBA1C, FBS, PP2BS, homocysteine level, Serum Cortisol level, URIC SCID, renal Doppler study TSH
Always CBC Serum creatinine GFR Colour Doppler renal
Lipid profile
ARB require dose adjustment if urea and creatinine values are alterd. S/E - ARB include hypokalemia also , hence serum electrolyte should be monitered
Cases that would interest you
- Login to View the image
30yrs male swelling of both legs R>L. Since 4days no other complete no pallor no sob / urine problem /no htn dm .. now bp 160/110. PR 75 bmn. Tempr normal..
Dr. Vijaykumar Bagale5 Likes23 Answers - Login to View the image
pls. comments on this ecg, 65yrs old, known diabetes with htn with dyslipidemia from 10 yrs.. ihd post ptca, on treatment.. no present chest pain. this is routine ecg.
Dr. Vijay Barde2 Likes11 Answers - Login to View the image
55 yrs female...pt...weight 75 kg...exertional dysnea..and wheezing...since 4 month..h.o..asthma on asthalin inhaler....htn...on amlokind 5 mg since 1 yrs.....now on Investigation sugar diagnosed....ecg..and all test done....now Dysnea on exertion..increase...since 1 month... knee pain..and recurrent urination....BP.. 150..90..now..so pls sugest how can manage this case....line of medication suggest...comment also on ecg....@Dr. Dineshchandra Sharma @Dr. Shivraj Agarwal
Dr. Chand Sharwale1 Like11 Answers - Login to View the image
young age hypertension treatment? age 35 years male bp is 156/100mg all reports are normally expect triglycerides 210,vldl-42
Dr. Santosh Kumar Yadav4 Likes10 Answers - Login to View the image
16/M with complaints of dyspnoea on exertion, fatiguability, lack of energy. His BP was measured in OP settings which is elevated at 148/90 mm HG with heart rate of 90 Bpm. He has high BMI, All the other blood parameters are normal except for dyslipidemia. What is the Dx? How do you manage this case?
Dr. John Wesley1 Like7 Answers
1 Like