Hypertension



- See: antihypertensive agents


- Outside Links:

   Flight Surgeon Manual
   GMO Manual
   Hospital Corpsman 1&C
   Sickcall Screener's  Handbook
   Sickcall Screener's  Handbook LTG
   Iowa Family Practice Handbook - Hypertension
   Iowa Family Practice Handbook - Hypertensive Crisis
   Merck Manual



- Young Hypertensive Patient:
    - consider ACE, combined w/ beta-alpha blockers, Ca channel blockers, or alpha blockers are preferred;
    - beta blockers alone are also effective, but reduce CO, impede atheletic performance, impede sexual dysfunction, & may cause depression;

- Elderly Hypertensive Patient: (60 and older)
    - diuretics are often chosen as the initial therapy;
    - ACE and B1selective agents is also good choice;

- Black Hypertensive Patient:
    - characterized by low renin levels hence avoid ACE;
    - consider diuretics alone or in combination with Ca channel blockers;

- Diabetic Hypertensive Patient:
    - consider ACE to be the 1st choice for therapy;
    - Ca channel blockers may adversely affect insulin secretion;
    - diuretics and beta blockers also have problems



A comparison of verapamil and propranolol for the initial treatment of hypertension. Racial differences in response.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, December 19, 2011 4:39 pm