Linss G, Scholze J
Medizinischen Bereich VII, Humboldt-Universität Berlin.
Z Gesamte Inn Med. 1990 Aug 15;45(16):491-3.
The diagnostic step-program in arterial hypertension can be divided in a so called basic program and in special differential-diagnostic programs. The basic evaluation for every hypertensive subject contains family and personal history, clinical investigation, blood pressure measurement, electrocardiogram, chest X-ray, blood tests (creatinine and potassium) and urine analysis. The extended basic program enables the evaluation of global cardiovascular risk. Furthermore other blood and urine examinations (including vanilmandelic acid), fundoscopy, echocardiography and sonography of the kidneys are of particular value for determining severity and etiology of the disease. After this program an extension of diagnostics can be renounced in about 90% of hypertensives.
动脉高血压的诊断步骤程序可分为所谓的基础程序和特殊鉴别诊断程序。对每位高血压患者的基本评估包括家族史和个人史、临床检查、血压测量、心电图、胸部X光、血液检查（肌酐和钾）以及尿液分析。扩展的基础程序有助于评估整体心血管风险。此外，其他血液和尿液检查（包括香草扁桃酸）、眼底镜检查、超声心动图和肾脏超声检查对于确定疾病的严重程度和病因具有特殊价值。经过这一程序后，约90%的高血压患者可不再进行进一步的诊断。
