Caldwell J R
Postgrad Med. 1979 May;65(5):66-71, 74-5, 77. doi: 10.1080/00325481.1979.11715139.
The comprehensive diagnostic evaluation once recommended for hypertension is no longer practical or necessary. In the majority of cases, a thorough history, physical examination, and basic laboratory workup are sufficient to determine the severity of the hypertension and to detect target organ damage. Secondary hypertension is truly rare in clinical practice and should not be pursued with complex, costly, and possibly risky tests unless specific indications are present.
曾经推荐用于高血压的全面诊断评估已不再实用或必要。在大多数情况下,详尽的病史、体格检查和基本实验室检查足以确定高血压的严重程度并检测靶器官损害。继发性高血压在临床实践中确实罕见,除非有特定指征,否则不应通过复杂、昂贵且可能有风险的检查来进行诊断。