An Update on the Diagnostic Evaluation of the Hypertensive Patient.

Hypertension is the most common reason for adult medical office visits in the U.S. today. With increasing longevity, an aging population, a greater prevalence of obesity, and a falling threshold for indications for high blood pressure treatment, the diagnostic evaluation of the hypertensive patient assumes a major role in office practice. The majority of patients who are being assessed for newly discovered hypertension will benefit from a relatively simple evaluation without the use of high cost procedures. Evaluation includes a careful history for both blood pressure related findings and other cardiovascular risk factors, a physical examination aimed at identifying possible specific etiologies and target organ damage, as well as some basic laboratory assays. In a rapid and relatively inexpensive fashion, the patient then can be directed toward nonpharmacologic treatment, drug therapy, or more specialized investigations as needed. (c)2000 by Le Jacq Communications, Inc.