click below
click below
Normal Size Small Size show me how
Compel. indications
treatment for hypertension
| Question | Answer |
|---|---|
| pre-hypertension | aggressive lifestyle modification |
| Stage 1 HTN | 1st line: thiazide, CCB or ACE/ARB additional: combination of any 2 |
| Stage 2 HTN | 1st line: ACE/ARB and CCB/thiazide additional:3 drug combination |
| Chronic CAD | 1-2 drugs initially 1st line: BB or CCB +/- ACE/ARB additional:2/3 drug combination or add nitrate/diuretic not minoxidil or hydralizine |
| Post ACS/MI | 1st line:BB +/- ACE/ARB additional:add nitrate/CCB/adlosterone agent not minoxidil or hydralazine |
| LV dysfunction and/or heart failure | 1-3 drugs initially 1st line:ACE/ARB +/- BB +/- loop diuretic additional: add aldosterone, use ACE & ARB not Non-DHP CCB or alpha blocker |
| Stroke/TIA | 1st line:thiazide or CCB or ARB additional: combination of 2 drugs not BB |
| Chronic kidney disease | 1-2 drugs initially 1st line:ACE/ARB +/- CCB +/- diuretic (thiazide or loop), use loop when CrCl <50ml/min additional:Add CCB or alpha blocker not BB |
| Diabetes | 1st line:ACE/ARB additional:add thiazide or CCB not BB |