Diagnosis, assessment and risk calculation

  1. Confirm hypertension (ABPM).
  2. Exclude secondary hypertension.
  3. Assess cardiovascular risk.
  4. Find a target organ.

Risk Factors for calculating risk

  • Smoking
  • Family history
  • Diabetes
  • Dyslipidemia
  • Age
  • Sex

Bilan to perform

  • Hb, Ht.
  • Lipid profile.
  • Glycemia.
  • Creatinin, proteinuria.
  • Na, K, uric acid.
  • ECG.

Search organ damage

  • Left ventricular hypertrophy.
  • Albuminuria.
  • Hypertensive retinopathy.
  • Glomerular filtration (GFR <60ml/min).

Risk calculation

Swiss guidelines