2010 Hong Kong Reference Framework for Hypertension Care for ...

Module 4Evaluation for All Newly Diagnosed Hypertensive PatientsRoutine laboratory investigationRecommended TestsGeneralJustificationsUrine analysis • Detection of hypertensive nephropathy• Look for red blood cells, casts, glucose andproteinFasting glucose level • Detection of concomitant impaired glucosetolerance and diabetesRenal function testSodium, Potassium, Urea,CreatinineLipid profiles• Baseline level of electrolytes to aid adjustmentof future pharmacotherapy (e.g. thiazide, betablockers,Angiotensin-converting enzymeinhibitors• Detection of hypertensive nephropathy• Detection of electrolytes disturbance associatedwith endocrine disordersTotal CholesterolTriglycerideHDL-CholesterolLDL-Cholesterol• Detection of concomitant cardiovascular riskfactors• Guidance for antihypertensive and lipid-loweringpharmacotherapyECG12-lead electrocardiogram • Detection of cardiac complication as possibleend-organ damage (left ventricular hypertrophy;cardiac ischemia)3 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings