What is the first line treatment in the management of essential hypertension?
First-line medications used in the treatment of hypertension include diuretics, angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs), beta-blockers, and calcium channel blockers (CCBs). Some patients will require 2 or more antihypertensive medications to achieve their BP target.
What is the best treatment for essential hypertension?
How is essential hypertension treated?
- Exercise at least 30 minutes a day.
- Lose weight if you’re overweight.
- Quit smoking.
- Limit your alcohol intake to no more than one drink a day if you’re a woman and two drinks a day if you’re a man.
- Reduce your stress levels.
What are some differential diagnosis for hypertension?
Differential Diagnosis Hyperaldosteronism, coarctation of the aorta, renal artery stenosis, chronic kidney disease, and aortic valve disease should always be kept in the differential.
Why is thiazide first line for hypertension?
Thiazide diuretics are also less costly than other antihypertensive drugs. Therefore, thiazide diuretics are the most cost-effective first-line therapeutic option for the majority of patients.
What is the first drug of choice for stage 2 hypertension?
Diuretics. Diuretics, sometimes called water pills, are medications that help your kidneys eliminate sodium and water from the body. These drugs are often the first medications tried to treat high blood pressure. There are different classes of diuretics, including thiazide, loop and potassium sparing.
What is the common differential diagnosis for CHF?
Differential Diagnosis Acute renal failure. Acute respiratory distress syndrome (ARDS) Cirrhosis. Pulmonary fibrosis.
Why is essential hypertension called essential?
Essential hypertension (also called primary hypertension, or idiopathic hypertension) is the form of hypertension that by definition has no identifiable secondary cause. It is the most common type affecting 85% of those with high blood pressure.
Why are beta-blockers not first line for hypertension?
In summary, beta-blockers are effective in preventing cardiovascular disease but are no longer suitable for routine initial treatment of hypertension because their cardiovascular protection and metabolic effects are worse than those of other antihypertensive drugs.
Why is Amlodipine first line?
Results Amlodipine has good efficacy and safety, in addition to strong evidence from large randomised controlled trials for cardiovascular event reduction. Conclusions Amlodipine should be considered a first-line antihypertensive agent.
When do you choose ACE or ARB?
Choose ARBs Over ACE Inhibitors for First-line Hypertension Treatment, Large New Analysis Suggests. For first-line treatment of hypertension, angiotensin receptor blockers (ARBs) work as well as angiotensin-converting enzyme (ACE) inhibitors but are safer, according to a head-to-head analysis of the 2 drug classes.
Is beta blocker first line hypertension?
Abstract. National and international guidelines still recommend β-blockers (BBs) as first-line agents in uncomplicated prevention of hypertension. However, it has been shown that BBs reduce blood pressure less than other drugs, specifically with regard to central aortic pressure.
What is the gold standard for diagnosing CHF?
Although echocardiography is considered the gold standard in diagnosing left ventricular dysfunction, it is costly and has limited availability in urgent-care settings. Also, echocardiography may not always reflect an accurate condition.
What is the most common form of essential hypertension?
Essential hypertension (also called primary hypertension, or idiopathic hypertension) is the form of hypertension that by definition has no identifiable secondary cause. It is the most common type affecting 85% of those with high blood pressure….
| Essential hypertension | |
|---|---|
| Specialty | Cardiology |
Why are ACE inhibitors first-line for hypertension?
Introduction. ACE (angiotensin-converting enzyme) inhibitors and angiotensin receptor blockers (ARBs) effectively lower blood pressure (BP) through inhibition of the renin-angiotensin system and are equally recommended as first-line medications in the treatment of hypertension.