Hypertension patient physical examination, which items should be checked? The doctor told you, try not to miss
The prevalence of hypertension in China is very high, and it is not difficult to find that many middle-aged and elderly people around us suffer from such cardiovascular diseases. The headache of this disease is that it cannot be cured. At present, there is no specific medicine to cure it. It can only be controlled for life. If it is not well controlled, it will cause irreversible damage to the cardiovascular system and cause some serious complications. disease.
In order to monitor the health of patients with high blood pressure, it is necessary to regularly go to the hospital for physical examination. Due to some diseases caused by high blood pressure, it is not easy to detect in the early stage. We can only take physical examinations and take measures to control the occurrence of diseases if we find them early. However, many hypertensive patients do not know what items to do when they go to the physical examination. The doctor will tell you that the following items are the key items that hypertensive patients need to check, and try not to miss them.
Blood test
These tests are very important for people with high blood pressure. Doctors can use several indicators of the results of routine blood tests to determine the patient's condition. If it is found that the red blood cells increase and the blood viscosity increases, there may be the possibility of thrombosis, suggesting that the patient should focus on prevention and treatment. If there is an abnormal blood routine, complications such as hyperthyroidism should be excluded. If the hypertension is already very serious, causing renal failure, it will also be reflected in the results of the routine blood test.
Hungry blood sugar
Many people think that routine blood tests include checking blood sugar. In fact, this is not the case. Fasting blood sugar needs to be checked separately, and blood routine tests cannot detect blood sugar values. These tests are mainly to check for diabetes. If hypertensive patients have high blood sugar, it is very likely to be diabetes, resulting in high blood pressure. The combination of the two diseases is very dangerous, and the probability of cardiovascular disease is also high. It will increase, and patients need to be vigilant and actively prevent and treat.
blood lipid test
High blood lipids in hypertensive patients will block blood vessels and increase the probability of arteriosclerosis. If the blood lipid test results are abnormal, doctors will make hypertensive patients alert to cardiovascular and cerebrovascular diseases such as coronary heart disease and cerebral infarction. The patient will undergo further and more detailed examinations, and according to the examination results, the patient will be given corresponding treatment to reduce the probability of stroke and other diseases.
Urine and kidney function tests
If hypertension is not well controlled for a long time, in addition to causing cardiovascular and cerebrovascular diseases, it will also cause damage to the kidneys and other organs, hardening of the renal arteries, causing glomerular fibrosis, and the possibility of chronic renal failure. However, when the kidneys are damaged in the early stage, the patient does not feel it, and it can be observed by the protein content in the urine. Therefore, patients with hypertension should do regular urine examinations and pay more attention to the health of the kidneys.
ECG and echocardiography
Severe high blood pressure will endanger the heart. Long-term high blood pressure will increase the burden on the heart, affect the blood circulation of the heart, and cause symptoms such as myocardial hypertrophy and arrhythmia. Therefore, it is necessary for hypertensive patients to do ECG and cardiac ultrasound examinations. The former can The heart rate is observed through an electrocardiogram, which can observe the dynamics of all aspects of the heart in more detail and more accurately diagnose other heart diseases.
Fundus examination
Some hypertensive patients develop retinal vascular lesions when the disease is severe. With the increase of blood pressure, it will affect the small blood vessels at the bottom of the eye, causing blood vessel hemorrhage, edema, or sclerosis of the blood vessels in the eye. In severe cases, it will lead to atrophy of the patient's optic nerve and seriously affect the patient's vision. By doing a fundus examination, doctors can observe whether the patient's eyes have lesions due to high blood pressure, and if abnormalities occur, they can be prevented in advance.
Hypertensive patients need to do a lot of physical examination items. The above are the more important inspection items. If conditions permit, other items can also be checked, such as vascular Doppler ultrasonography, which can more carefully observe whether the blood vessels are diseased. If you feel that it is not comprehensive and detailed enough, you can explain your situation to the doctor during the physical examination, and let the doctor recommend a more targeted physical examination plan.