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Hypertension Management
- See Also
- Hypertension
- Hypertension Criteria
- Hypertension Evaluation
- Hypertension Risk Stratification
- General Guidelines
- See patients back at one month after starting agent
- Significantly improves compliance
- BP requires 1 month on agent to equilibrate
- Maximize compliance
- Work with patients to reduce adverse effects
- Switch to other agents if adverse effects significant
- Do not be overzealous
- Risk of overcorrection of Blood Pressure
- Avoid lowering diastolic pressure <70 mmHg
- Greater tolerance for elevated BP with increased age
- Study of 484 Swedish men over 70 from 1982-1992
- Risk if Diastolic Blood Pressure lowered below 90
- Increased cardiac event risk 3.9x
- Controlled for confounding factors
- Reference
- Merlo (1996) BMJ 313:457
- Medications that prevent Hypertension vascular sequelae
- Beta-Blockers
- Diuretics
- ACE Inhibitors
- Calcium Channel Blockers
- Medications that prevent Left Ventricular Hypertrophy
- Most effective at reduced LVH risk
- ACE Inhibitors
- Diuretics
- Beta-Blockers
- Least effective at reduced LVH risk
- Prazosin
- Clonidine
- Diltiazem
- Reference
- Gottdiener (1997) Circulation 95:2007
- Management Protocol
- See Hypertension Risk Stratification
- See Hypertension Reduction Goal
- Management Strategies
- Hypertension General Measures
- Antihypertensive Selection
- Hypertension Combination Therapy
- Hypertension Management for Specific Comorbid Diseases
- Hypertension Management for Specific Populations
- Hypertension Management for Specific Emergencies
- References
- (2000) Lancet 356:1955
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