Hypertension Strategies
This combination is considered first-line treatment for patients with heart failure and hypertension.
What is ACEI/ARB + BB + Diuretic +/- Aldosterone antagonist (based on LVEF)?
This compelling indication for hypertension treatment often warrants the use of ACE-I/ARB + BB + Diuretic +/- Aldosterone antagonist (based on LVEF).
What is Heart Failure?
This initial therapy is recommended for Black patients without heart failure or chronic kidney disease.
What are Thiazide Diuretics or CCB?
This is the recommended blood pressure goal for patients with heart failure, and the first-line therapy according to GDMT.
What is a blood pressure goal of <130/80 mmHg, and the first-line therapy is ACE-I/ARB + BB + Diuretic +/- Aldosterone antagonist (based on GDMT)?
For patients with stable ischemic heart disease or coronary artery disease, this combination is typically recommended as first-line therapy for hypertension.
What is BB + ACE-I/ARB? (SIHD/CAD)
For individuals with stable ischemic heart disease or coronary artery disease, this combination is typically recommended as first-line therapy, with potential add-ons including CCB, thiazide, or aldosterone antagonist.
What is BB + ACE-I/ARB with potential add-ons including CCB, thiazide, or aldosterone antagonist? (SIHD/CAD)
Elderly patients, particularly those with isolated systolic hypertension, may benefit from this class of calcium channel blockers.
What are DHP CCBs (Dihydropyridine Calcium Channel Blockers)?
Following a myocardial infarction, this is the recommended blood pressure goal and first-line therapy.
What is a blood pressure goal of <130/80 mmHg, and the first-line therapy is ACE-I/ARB + BB?
Patients with Diabetes often benefit from this class of medications as first-line treatment for hypertension.
What is ACE-I/ARB? (DM)
Patients with diabetes mellitus often require this class of medications as first-line treatment for hypertension, with potential add-ons including CCB or thiazide, especially if proteinuria is present.
What is ACE-I/ARB with potential add-ons, including CCB or thiazide, especially if proteinuria is present? (DM)
The recommended blood pressure goal for noninstitutionalized ambulatory community-dwelling adults (>65 years old) with an average SBP of 130mmHg or higher.
What is a blood pressure goal of <130/80 mmHg?
For patients with stable ischemic heart disease, this is the recommended blood pressure goal and first-line therapy, while also avoiding a specific beta-blocker.
What is a blood pressure goal of <130/80 mmHg, and the first-line therapy is BB + ACE-I/ARB, while avoiding atenolol?
In individuals with chronic kidney disease, this class of medications is usually recommended as first-line treatment for hypertension.
What is Thiazide + ACE-I/ARB? (CKD)
For individuals with a history of recurrent stroke, this combination is recommended as first-line therapy for hypertension, with potential add-ons including CCB or aldosterone antagonists.
What is Thiazide + ACE-I/ARB with potential add-ons, including CCB or aldosterone antagonist? (Recurrent Stroke)
Men with hypertension may experience worsening erectile dysfunction with this class of antihypertensive medications.
What are Thiazides and Beta-blockers?
What are ACE-I/ARB, CCB, or Thiazide, with considerations for ACE-I/ARB in patients with elevated urinary albumin excretion >300?
What are ACE-I/ARB, CCB, or Thiazide, with considerations for ACE-I/ARB in patients with elevated urinary albumin excretion >300?
Following a myocardial infarction, this combination is recommended as first-line therapy for hypertensive patients.
What is BB + ACE-I/ARB? (Post-MI)
Patients with post-myocardial infarction often require this combination as first-line treatment, with potential add-ons including CCB or thiazide.
What is BB + ACE-I/ARB with potential add-ons, including CCB or thiazide? (Post-MI)
These are the preferred therapies for managing hypertension during pregnancy, avoiding sodium nitroprusside due to the risk of cyanide toxicity.
What are Hydralazine, Labetalol, Nifedipine, and Methyldopa?
For individuals with chronic kidney disease, this is the recommended blood pressure goal and first-line therapy, with considerations for add-on medications depending on the stage of CKD.
What is a blood pressure goal of <130/80 mmHg, and the first-line therapy is ACE-I or ARB, with considerations for add-on medications depending on the stage of CKD?