Standard workup-hypertension

• Goals:
  • (1) identify CV risk factors;
  • (2) consider 2° causes;
  • (3) assess for target-organ damage
• History of Standard workup-hypertension 󰒗:
• Physical exam:
  • ✓ BP in both arms;
  • funduscopic exam,
  • BMI,
  • cardiac (LVH,
  • murmurs),
  • vascular (bruits,
  • radial-femoral delay),
  • abdominal (masses or bruits),
  • neuro exam
• Testing of Standard workup-hypertension 󰒗
• Ambulatory BP monitoring (ABPM):
  • consider for episodic, masked, resistant, or white coat HTN;
  • stronger predictor of mortality than clinic BP (NEJM 2018;378:1509);
  • 24 h target <130/80