Advertisement
An updated version is available in the linked supplement
Clinical investigations from the RACP

Investigation of the patient with hypertension

George J Mangos
Already a subscriber? Login here for full access.
Full Text: PDFFull Text: HTML

Figures

Abstract

The diagnosis of hypertension should be made over several visits of the patient to the GP. An elevated blood pressure may be due to white-coat hypertension or may be a symptom of a more serious condition, such as chronic kidney disease.

Key Points

  • The diagnosis of hypertension should be made over several visits of the patient to the GP surgery.
  • Twenty-four-hour ambulatory blood pressure monitoring is useful to evaluate a patient for white-coat hypertension or masked hypertension.
  • Home blood pressure monitoring is now frequently used by patients in the management of their condition.
  • All patients with hypertension should be screened for diseases of the kidney, which are probably the most common secondary cause of hypertension.
  • Other secondary causes of hypertension to consider include primary aldosteronism and phaeochromocytoma.

Figures