What tests are needed to check the causes of high blood pressure at the age of 65

The reasons for high blood pressure in the 65 year old population require multiple examinations such as blood pressure monitoring, blood tests, urine tests, electrocardiograms, and echocardiograms. These examinations help to clarify the causes of hypertension, including genetic, environmental, physiological, pathological, and other factors, in order to develop targeted treatment plans.

1. Blood pressure monitoring: Through dynamic blood pressure monitoring or home self testing of blood pressure, understand the fluctuation of blood pressure and determine whether it is persistent hypertension. Dynamic blood pressure monitoring can record changes in blood pressure within 24 hours, while home self testing of blood pressure helps to track blood pressure trends in the long term.

2. Blood tests: including blood routine, blood lipids, blood glucose, renal function and other indicators. hyperlipidemia, hyperglycemia, and renal dysfunction may cause or exacerbate hypertension. Blood routine can detect potential problems such as anemia or infection, while blood lipid and blood glucose levels are directly related to cardiovascular health.

3. Urine examination: Evaluate kidney function through urine routine and urine microalbumin testing. Kidney disease is one of the common causes of hypertension. Urine microalbumin testing can detect kidney damage early and help with timely intervention.

4. Electrocardiogram: Check the electrical activity of the heart to determine whether there are problems such as myocardial ischemia and arrhythmia. Electrocardiogram can reveal abnormalities in the structure and function of the heart, helping to evaluate the impact of hypertension on the heart.

5. Echocardiography: Evaluate cardiac structure and function, detect ventricular hypertrophy, heart valve disease, etc. Echocardiography can provide detailed imaging of the heart, helping to diagnose hypertension related cardiac lesions.

For the treatment of hypertension, drug therapy includes diuretics, calcium channel blockers, angiotensin-converting enzyme inhibitors, etc. Non pharmacological treatment recommendations include a low salt diet, moderate exercise, smoking cessation, and alcohol restriction. A low salt diet can help lower blood pressure, moderate exercise can enhance cardiovascular function, and quitting smoking and limiting alcohol consumption can reduce the risk of vascular damage. The causes of high blood pressure in the 65 year old population need to be identified through multiple examinations, and personalized treatment plans should be developed based on the examination results. Regular monitoring of blood pressure, lifestyle adjustments, and rational medication use are key to controlling hypertension. Through comprehensive management, the health risks caused by hypertension can be effectively reduced and the quality of life can be improved.