HTN Meds for Patient Specific Factors Flashcards
1
Q
Stable ischemic heart disease
A
- ACEi/ARB & BB
- add CCB if not controlled
2
Q
Heart Failure Reduced Ejection Fraction (HFrEF)
A
- Anything except CCB (esp NON DHP)
3
Q
Heart Failure Preserved Ejection Fraction (HFpEF)
A
Based on symptoms
* Fluid overload: diuretics
* Elevated BP: ACEi/ARB
* Elevated HR: beta blockers
4
Q
CKD
A
ACEi/ARB if…
* Stage 3+
* albuminuria
5
Q
Renal transplant
A
- CCB
6
Q
Secondary stroke prevention
A
if BP ≥ 140/90 then…
* ACEi/ARB AND thiazide
if not then…
* ACEi/ARB or thiazide
7
Q
DM
A
any first line option
* if albuminuria: ACEi/ARB
8
Q
Atrial Fibrillation
A
ARB
9
Q
Aortic disease
A
Beta blocker
10
Q
Black patients
A
Thiazide or CCB (including DM)
if HF or CKD: follow those guidelines
11
Q
Pregnancy
A
Methyldopa, nifedipine, or labetalol
12
Q
Resistant HTN Steps
A
- Optimize therapy
- Switch to chlorthalidone or indapamide
- Add spironolactone
- If HR>70, add BB; if HR<70, clonidine or guanfacine
- Hydralazine
- Replace hydralazine with minoxidil
13
Q
ACE
A
- angioedema
- cough
- take at night
14
Q
Beta blocker
A
- masks hypoglycemia
- exercise intolerance
- do not stop abruptly
15
Q
Aliskiren
A
- musculoskeletal
- diarrhea
