Flashcards in clinical case HTN Deck (11)
what is prehypertension?
blood pressure 120/80 to 139/89 mmHg
is drug therapy recommended for prehypertension?
no (evidence lacking on whether it decreases or prevents cardiovascular events)
what are the clinical bottom line for HTN?
1. cardiovascular risk increases as blood pressure increases
2. screen all adults for hypertension at 1 to 2 yr intervals
3. lifestyle modification can delay hypertension + CVD onset
--> no evidence for adding pharmacotherapy for prevention
drug therapy for volume overload?
thiazide, loop diuretic, aldosterone antagonist
drug therapy for sympathetic overactivity?
beta blocker --> use to counteract reflex tachycardia from vasodilators or in heart failure
drug therapy for increased vascular resistance?
ACEi or ARB
drug therapy smooth-muscle contraction?
dihydropyridine CCB, beta blocker, hydralazine
DOC for recurrent stroke prevention?
diuretic, ACE inhibitor
DOC for chronic kidney dz?
ACE inhibitors, ARB
what are the advantages of combination therapies?
1. better adherence
2. may cost less for pts than individual prescriptions