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Table 7 Laboratory examinations

From: 2013 Korean Society of Hypertension guidelines for the management of hypertension: part I–epidemiology and diagnosis of hypertension

Level

Tests

Routine

12-lead electrocardiogram

 

Urinalysis: proteinuria, hematuria, glucosuria

 

Hemoglobin, hematocrit

 

K+, creatinine, estimated glomerular filtration rate, uric acid, fasting glucose, lipids (total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, triglyceride)

 

Chest X-ray

 

Microalbuminuria: albumin/creatinine (in random urine sample)

Recommended

75 g oral glucose tolerance test or hemoglobin A1c (when fasting glucose ≥ 100 mg/dL)

 

Echocardiogram

 

Carotid ultrasound: intima-media thickness, plaque

 

Ankle-brachial blood pressure index

 

Pulse wave velocity

 

Fundoscopy (mandatory in diabetes)

 

24-h urine protein excretion

 

Ambulatory blood pressure/home blood pressure measurements

Extended

Search for asymptomatic organ damage: brain, heart, kidney, vessels

 

Search for secondary causes of hypertension