{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T16:34:05Z","timestamp":1778776445927,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Hypertension\u2010mediated organ damage (HMOD) plays a central role in cardiovascular risk stratification, yet real\u2010world implementation of guideline\u2010recommended screening remains heterogeneous across Asian healthcare systems. We conducted a retrospective cross\u2010sectional study of 315 hospitalized hypertensive patients admitted to a Vietnamese tertiary referral hospital between January and June 2024 to evaluate completion rates of HMOD\u2010related investigations and the detected burden of organ damage among tested patients. Basic laboratory tests, electrocardiography, and echocardiography were performed in nearly all patients, whereas urine albumin\u2010to\u2010creatinine ratio testing (34.3%), fundoscopic examination (6.7%), and ankle\u2013brachial index measurement (1.6%) were selectively utilized. Left ventricular hypertrophy was detected in 55.9% of the cohort. Among patients undergoing corresponding investigations, diagnostic yield was substantial for peripheral atherosclerosis (70.5%), albuminuria (68.5%), and cerebral white matter lesions (33.0%). Importantly, 68.5% of patients without established cardiovascular disease had evidence of at least one form of HMOD. These findings demonstrate that the apparent burden of HMOD in hospitalized hypertensive patients is strongly shaped by diagnostic testing patterns. Systematic implementation of selected high\u2010yield investigations, particularly quantitative albuminuria assessment, may represent a pragmatic strategy to improve detection of silent organ damage in tertiary\u2010care settings.<\/jats:p>","DOI":"10.1111\/jch.70241","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T02:31:24Z","timestamp":1775010684000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic Testing Patterns Influence the Detected Burden of Hypertension\u2010Mediated Organ Damage in Hospitalized Hypertensive Patients"],"prefix":"10.1111","volume":"28","author":[{"given":"The Dung","family":"Bui","sequence":"first","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phuc Tai","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Le Nhat Thanh","family":"Dinh","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thi Huynh Nhu","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thi Phuong Thao","family":"Doan","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thi Thanh Huong","family":"Vo","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thi Hong Lan","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thi Thanh Hoa","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thi Thao Nguyen","family":"Dang","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanh Chinh","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ngoc Mai Han","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Medical Center Ho Chi Minh City  Ho Chi Minh City Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003480"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-019-0244-2"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13751"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2020.35.e400"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15020222"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/71016"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2025.03.011"},{"key":"e_1_2_14_9_1","article-title":"Target Organ Damage in Untreated Hypertensive Patients: Insights From a Chinese Cohort","volume":"9","author":"Li S. 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