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A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
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[Basic program for the diagnosis of arterial hypertension]

G Linss1, J Scholze

  • 1Medizinischen Bereich VII, Humboldt-Universität Berlin.

Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|August 15, 1990
PubMed

Insights

This study outlines a diagnostic approach for arterial hypertension, detailing basic and extended evaluations. This comprehensive strategy effectively identifies disease severity and etiology in most patients, minimizing the need for further testing.

Area of Science:

  • Cardiology
  • Nephrology
  • Internal Medicine

Background:

  • Arterial hypertension requires a structured diagnostic approach.
  • Evaluating cardiovascular risk and disease etiology is crucial for effective management.

Purpose of the Study:

  • To define a stepwise diagnostic program for arterial hypertension.
  • To establish criteria for basic and extended diagnostic evaluations.

Main Methods:

  • The diagnostic program includes a basic evaluation (history, physical exam, ECG, chest X-ray, basic blood/urine tests).
  • An extended program incorporates further blood/urine tests, fundoscopy, echocardiography, and renal sonography.
  • Global cardiovascular risk assessment is integrated into the extended evaluation.

Main Results:

  • The basic evaluation is standard for all hypertensive patients.
  • The extended program provides detailed information on disease severity and cause.
  • This structured approach obviates the need for further diagnostic extensions in approximately 90% of cases.

Conclusions:

  • A systematic diagnostic program is essential for managing arterial hypertension.
  • The proposed basic and extended evaluations are efficient and comprehensive.
  • This diagnostic strategy significantly reduces the need for additional investigations in most hypertensive patients.

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