Fast Five Quiz: Hypertension Practice Essentials

Yasmine S. Ali, MD, MSCI


March 19, 2020

According to guidelines from the ESC/ESH, funduscopy is recommended in patients with grades 2 or 3 hypertension and all patients with hypertension who have diabetes. It may also be considered in other patients with hypertension.

The guidelines also state that 12-lead ECG is recommended for all patients with hypertension. Echocardiography is recommended if ECG abnormalities or signs/symptoms of left ventricular (LV) dysfunction are present. It may also be considered when the detection of LV hypertrophy may influence treatment decisions.

The guidelines also recommend the measurement of serum creatinine, estimated glomerular filtration rate, and urine albumin/creatinine ratio in all patients with hypertension.

Ultrasound examination of the carotid arteries may be considered for the detection of asymptomatic atherosclerotic plaques or carotid stenosis in patients with documented vascular disease elsewhere.

Read more about the workup of patients with hypertension.


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