The new criteria for the characterization of systolic / diastolic pressure according to the American College of Cardiology (ACC) are:
- Normal – Systolic less than 120 with Diastolic less than 80 mm Hg
- Increased – Systolic 120 to 129 and Diastolic less than 80 mm Hg
- Stage 1 Hypertension: 130 to 139 mm Hg or diastolic 80 to 89 mm Hg
- Stage 2 hypertension -Systolic over 140 mm Hg or diastolic over 90 mm Hg
- Hypertensive crisis – Systolic over 180 Hg and/or diastolic over 120 mm Hg
LABORATORY TEST SCREENING
The purpose is to :
- detect biochemical – hormonal factors that cause pressure
- assess the health of the body before taking preventive and therapeutic measures – medicines
- to evaluate the efficacy and effect on the body of the treatment
The combination of:
Basic Check up
|Test / Analyte||Description / Detects - Measures|
|Complete Blood Count -||Measurement Hematocrit, Red -White Blood Cells - Platelets and Morphology
Detects Anaemias, Infections - Bone marrow disorders.
Indications of chronic deseases
|Erythrocyte Sedimentation Rate||Chronic Inflammations - infections|
|CRP-hs||Accute Inflammations - infections.
Cardiovascular risk factor
|Total Cholesterol||Cardiovascular Risk Factors
Cholesterol Dietary intake
Drug therapy assessment
|Liver Enzyme γ-GT||Liver function test
Hepatitis B/C - drug -alcohol induced - fatty liver - cancer etc
|Liver enzymes ALT & AST|
Sodium, potassium, calcium (Na +, K +, Ca +)
They are directly regulating pressure factors. Unexpected values may have come from a hormonal disorder, problematic hydration – water balance, medication taking, or other pathological causes.
TSH (thyroid hormone), fT4 (free thyroxine)
Detects a potential hyperthyroidism, which is one of the most common causes of hormone-dependent hypertension.
It is the hormonal system managing body’s salts thru kidneys and with a direct effect on the pressure. Blood sampling is required at home, without getting out of bed.
24-hour urinary cortisol (Cort-U-24h)
The total production of adrenal stress hormone is calculated. Elevated levels are associated with Cushing’s syndrome that causes hypertension.
24 Hour Urine Album
Evaluates kidneys health witch regulate the pressure by maintaining salt concentrations, and the right degree of hydration
24-hour Urine Catecholamines and Post-Nephrons
The possibility of hypercholesterolaemia is controlled by hormones.
NON-HEMATOLOGICAL-LABORATORY PRECAUTIONS FOR HYPERTENSION
- Pressure holter
- Heart triplex
- Carotid Triplex
- Kidneys ultrasound
In the overall cardiovascular risk assessment, additional test are suggested as described in “Cardiovascular Risk Markers”
Information selected with sources:
- Interpretation of Diagnostic Tests – J.Wallach
Personalization of the check up takes into account multiple parameters of staff and family history. Depending on the case, exam selection may require some not mentioned on this page.
The exact choice is the responsibility of your treating physician
Editor: John Gratis Lab Director / Clinical Biochemist
Last updated May 2019