12
Evaluation and Diagnosis
Laboratory Tests and Other Diagnostic Procedures
COR LOE
Recommendation
1 C-EO
1. For adults who are diagnosed with hypertension, laboratory
tests (ie, complete blood count, serum electrolytes, serum
creatinine, lipid profile, glucose or hemoglobin A1c [HbA1c],
thyroid-stimulating hormone, urinalysis, and urine albumin-
to-creatinine ratio) and diagnostic procedures (12-lead ECG)
should be performed to optimize management.
3.1.4. Ambulatory Blood Pressure Monitoring and Home
Blood Pressure Monitoring
COR LOE
Recommendations
1 A
1. In adults with suspected hypertension, out-of-office BP
measurements by either ABPM or HBPM are recommended
to confirm the diagnosis of hypertension.
1 A
2. In adults who are taking antihypertensive medication, HBPM
is recommended for monitoring the titration of BP-lowering
medication, along with cointerventions such as patient
education, telehealth counseling, and clinical interventions.
3.1.2. Patient Evaluation, Including Laboratory Tests and
Other Diagnostic Procedures
Table 6. Routine Laboratory Testing for New Diagnosis of
Hypertension
Diagnostic Tests
Complete blood count
Serum sodium, potassium, calcium
Serum creatinine with estimation of glomerular filtration rate (based on the 2021
CKD-EPI Creatinine Equation)
Lipid profile
Fasting blood glucose or Hemoglobin A1c
yroid-stimulating hormone
Urinalysis
Urine albumin-to-creatinine ratio; urine protein-to-creatinine ratio
ECG
ECG indicates electrocardiogram.
Modified with permission from Whelton et al. Copyright © 2018 American College of
Cardiolog y Foundation and American Heart Association, Inc.
