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Preparing for your appointment

By Mayo Clinic staff

If your doctor thinks you have secondary hypertension, you'll likely need an appointment to confirm that you have the condition. Your doctor may order blood tests, urinalysis, an ultrasound or an electrocardiogram as part of your appointment.

Your doctor should tell you if there are any special instructions to follow before your tests. You may have to fast for nine to 12 hours if you're having a blood test so that your doctor gets the most accurate results.

Your doctor may also ask about your family history of high blood pressure. If you don't have a family history of high blood pressure, it's possible your blood pressure could be caused by another medical condition.

References
  1. Chobanian AV, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42(6)1202-1256.
  2. Onusko E. Diagnosing secondary hypertension. American Family Physician. 2003;68(1):67-74.
  3. Taler SJ. Secondary causes of hypertension. Primary Care: Clinics in Office Practice. 2008;35(3):489-500.
  4. Domino FJ, et al. Overview of hypertension in adults. http://www.uptodate.com. Accessed Sept. 18, 2008.
  5. Ong KL, et al. Prevalence, awareness, treatment, and control of hypertension among United States adults 1999-2004. Hypertension. 2007;49(1):69-75.
  6. Polycystic kidney disease. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/polycystic/. Accessed Sept. 16, 2008.
  7. Glomerulonephritis. National Kidney Foundation. http://www.kidney.org/atoz/atozPrint.cfm?id=65 Accessed Sept. 16, 2008.
  8. Bilateral hydronephrosis. University of Maryland Medical Center. http://www.umm.edu/ency/article/000474all.htm. Accessed Sept. 16, 2008.
  9. ATA hypothyroidism booklet. American Thyroid Association. http://www.thyroid.org/patients/brochures/Hypothyroidism%20_web_booklet.pdf. Accessed Sept. 16, 2008.
  10. Hyperthyroidism. American Thyroid Association. http://www.thyroid.org/patients/brochures/Hyper_brochure.pdf. Accessed Sept. 16, 2008.
  11. Hyperparathyroidism. National Institute of Diabetes and Digestive and Kidney Diseases. http://endocrine.niddk.nih.gov/pubs/hyper/hyper.htm. Accessed Sept. 16, 2008.
  12. What is preeclampsia? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/hbp/issues/preg/preclamp.htm. Accessed Sept. 16, 2008.

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Oct. 4, 2008

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