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Initial assessment of the hypertensive people should include a complete [[Medical history|history]] and [[physical examination]]. Serum [[creatinine]] is measured to assess for the presence of kidney disease, which can be either the cause or the result of hypertension. Serum creatinine alone may overestimate [[glomerular filtration rate]] and the 2003 JNC7 guidelines advocate the use of predictive equations such as the [[Modification of Diet in Renal Disease]] (MDRD) formula to estimate glomerular filtration rate (eGFR). eGFR can also provide a baseline measurement of kidney function that can be used to monitor for side effects of certain [[Antihypertensive drug|anti-hypertensive]] drugs on kidney function. Additionally, testing of urine samples for [[proteinuria|protein]] is used as a secondary indicator of kidney disease. [[Electrocardiogram]] (EKG/ECG) testing is done to check for evidence that the heart is under strain from high blood pressure. It may also show whether there is thickening of the heart muscle ([[left ventricular hypertrophy]]) or whether the heart has experienced a prior minor disturbance such as a silent heart attack. A [[chest X-ray]] or an [[echocardiogram]] may also be performed to look for signs of heart enlargement or damage to the heart.

Translations:Hypertension/34/en - Revision history

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