Hypertension: tests needed for comprehensive care in Indian BP patients

What tests  should be done in hypertensive patients for routine health evaluation?

High blood pressure is one of the most significant risk factors for ischemic heart disease, heart failure and chronic kidney disease. Hypertensives are at increased risk of heart attack, stroke, kidney failure and eye complications. In addition, the hypertensives who are obese commonly have metabolic syndrome, prediabetes/diabetes.

It is therefore, very important that the routine health assessment for Indian BP patients includes all the relevant tests and measurements which help in detecting complications and managing the risks

Also, the routine health assessment should not just focus on hypertension and its problems, but should include tests to detect the other age and gender specific health risks. Find our recommendation below:

Complete health check up list for people with  high BP

Physical assessment

Age , gender
Weight, height, BMI, Waist circumference
Blood pressure ‘Correct way to get your BP measured’

Laboratory tests

Blood sugar

(Fasting and PP for the largest meal of the day)

Blood lipid profile

   Total cholesterol
   LDL cholesterol
   Non HDL cholesterol
   HDL cholesterol

Kidney Function Tests (KFT)

  Serum Creatinine with eGFR
  Serum sodium,  potassium, calcium, uric acid

Urine test

  Urine R/M (routine and microscopy)
  Urine for microalbuminuria

Tests for common nutritional deficiencies

Hemoglobin + haematocrit
Vitamin D levels (ng/dL)
Vitamin B12 levels (pg/dL)

12 lead ECG

Detailed assessment for CVD/heart disease

For this, a three pronged approach is needed

  • Symptom checker for CVD
  • Heart risk calculator for risk of heart attack/stroke in next ten years
  • TMT (exercise stress test) or ECHOcardiography (discuss with your doctor )

Screening for OSA (Obstructive Sleep Apnoea)

If you are obese and snore loudly on most nights, or your partne has noticed that you stop breathing for a few seconds in sleep, discuss with your doctor

Bone health risk assessment


Assessment for mental well being

PHQ 2 and GAD 2 questionnaire

Assessment for possible secondary hypertension

in young people (<40 years of age)  with recently diagnosed (less than a year ago) hypertension

Screening for common cancers


CHECK OUT: FWI references for preventive health checks