A 55-year-old patient diagnosed with hypertension 2 months ago at a company check-up. Laboratory tests: glucose 129 mg/dL, cholesterol 202 mg/dL, LDLc 160 mg/dL, HDLc 38 mg/dL, triglycerides 171 mg/dL, creatinine 1.1 mg/dL. He consults for poor blood pressure control, malleolar edema and dyspnea that is occasionally nocturnal. Physical examination: BMI 38 kg/m2, abdominal perimeter 110 cm, BP 157/93, HR 70 bpm, HR 14 rpm. Systolic murmur with reinforcement of the second sound. Peripheral pulses with discrete asymmetry in right pedius and right posterior tibial pulses that are weaker with respect to the left extremity. Chest X-ray and ECG without alterations Which of the following complementary tests is the least necessary for the detection of lesions in target organs?
HbA1c would be useful in this patient for the diagnosis of diabetes but not for the target organ involvement of hypertension.
Transthoracic echocardiogram.
Performance of fundus examination.
Determination of microalbuminuria.
Ankle-brachial index.
Determination of glycosylated hemoglobin.
HbA1c would be useful in this patient for the diagnosis of diabetes but not for the target organ involvement of hypertension.