Accurately diagnosing hypertension involves multiple office visits to establish persistent elevation, rule out white coat syndrome, and identify any secondary causes. This guide provides protocols to standardize the evaluation process.
Confirming the Diagnosis
- Diagnosis requires 2+ carefully measured BP readings on 2+ visits showing elevation.
- Evaluate for white coat effect with out-of-office monitoring before confirming diagnosis.
- Refer patients with suspected secondary hypertension for additional testing.
Diagnostic Workup
- Medical history - symptoms, family history, medications, substance use
- Physical exam - source of secondary causes, end-organ damage
- Lab tests - metabolic panel, urinalysis, renal function
- Additional testing as indicated - ECG, echocardiogram, vascular imaging
Related information
Whether you are new to hypertension management or a seasoned practitioner, the hypertension principles online learning module delivers an essential skill-building opportunity and key reference for everyday practice.