Elderly people with hypertension check blood pressure, blood and urine routine and other laboratory tests, electrocardiogram, cardiac ultrasound, fundus, head CT and vascular examination.
1. Elderly people with high blood pressure should first have their blood pressure measured, and if possible, they can have 24-hour ambulatory blood pressure monitoring to get a preliminary understanding of the current level of blood pressure.
2. Blood and urine routine and other laboratory tests, including blood routine, urine routine, liver and kidney function, blood glucose, blood lipid, electrolytes, uric acid, etc., can assess the hypertension complications, whether the basic indexes are normal or not, as well as to monitor the adverse reaction of drugs.
3. Electrocardiogram and cardiac ultrasound can assess the impact of hypertension on the heart and understand the size and function of the heart.
4. Funduscopic examination can understand the degree of arteriosclerosis of the fundus caused by hypertension.
5. Cranial CT and cerebral arterial vascular examination can be performed if necessary to clarify the degree of cerebral arteriosclerosis caused by hypertension.
The above examinations can help to comprehensively evaluate the whole body’s basic condition and guide the next diagnosis and treatment plan.