Laboratory testing in a hypertension clinic: A reappraisal

D. R. Wood, K. K. Kroenke

Research output: Contribution to journalArticle

Abstract

The charts of a hypertension screening clinic were reviewed for a two-year period. The tests analyzed included chest roentgenography, electrocardiography, complete blood count and differential analysis, a 20-item chemistry profile, urinalysis, and rapid plasma reagin screening. The authors reviewed 6,269 tests performed on 398 patients and found 1,165 (19%) abnormalities. Of these abnormalities, 973 were either previously known, clinically expected, or clinically unimportant. The remaining 192 were unexpected abnormalities; 77 of these had resulted in a new diagnosis, while 115 had not been recognized by the physician. Fifty-six of the 77 new diagnoses and 63 of the unrecognized abnormalities were elevations in glucose or cholesterol levels. The authors found little evidence to support comprehensive testing in patients with mild hypertension; however, screening for diabetes mellitus and hypercholesterolemia is warranted.

Original languageEnglish (US)
Pages (from-to)365-370
Number of pages6
JournalJournal of the American Osteopathic Association
Volume88
Issue number3
StatePublished - Jan 1 1988
Externally publishedYes

ASJC Scopus subject areas

  • Complementary and alternative medicine

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