Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Thiazide diuretics have been accepted as the primary foundation of antihypertensive therapy. The basis of this choice is that, apart from their primary hypotensive effect, they enhance the efficacy of other hypotensive drugs. It has been observed that most of the hypertensive patients would require 2 or more drugs for optimal control. Usually another drug from a different class can be added when BP is more than 20/10 above the goal. The drugs can be administered either separately or as fixed dose combinations. The presence of comorbid conditions should determine the choice of specific classes of hypotensive drugs.
a) Ischemic Heart Disease
In patients with hypertension and stable angina the drug of choice is usually a beta-blocker, with or without a long acting calcium channel blocker. In unstable angina, a beta-blocker, diltiazem and ACE inhibitors or an ARB are the preferred ones. In post infarction states beta-blockers and ACEI/ARB are the choices.
b) Heart Failure
With the current interest in diastolic heart failure there is a greater interest in the management of diastolic dysfunction usually detected on echocardiography. Beta-blockers and ACEI/ARB are the choices. Diuretics are not recommended since they decrease the LV filling pressure. In early systolic dysfunction, ACE/ARB are given. In florid heart failure it has to be diuretics, aldosterone antagonists, ARB/ACEI are recommended.
c) Diabetic with Hypertension
ACEI and ARBs are first choice since they have been found to retard the progression of diabetic nephropathy and may reduce albuminuria. Other drugs can be added to obtain the target BP of 130/80.
What is bicuspid aortic? Bicuspid aortic valve is the most common form of CHD seen in adults. Isolated bicuspid aortic valves may be stenotic or non-stenotic to start with. T
Availability of ADP When the ADP levels increase due to hydrolysis ofATP in various biosynthetic reactions, the rate of reaction to generate ATP is accelerated and this i
Q. Dietary management during atherosclerosis? Dietary management and the nutrient requirements during atherosclerosis remain the same as for the management of dyslipidemia. Hen
Define about Aliphatic alcohols - Non Glyceride Fractions? These are water-insoluble, with their content varying from 0.5-7% of the unsaponifiable matter. Rice bran oil contain
Does greater light 80 cm instead of 20 cm produce more photosynthesis on plants? Why or why not
Q. What are the major theoretical models that try to explain the formation of the enzyme-substrate complex? There are two major models that explain the formation of the enzyme-
The various types and their description of Heart failure are as follows: Left Sided Versus Right Sided Heart Failure Predominantly left sided failure is seen in left ventr
KIDNE Y (RENAL FAILURE) - RF - Partial or total inability of kidney to carry excretory functions is called RF. It leads to uremia (excess of urea in blood), salt-water imba
Parasitic Protozoan Out of the thousands of species of Protozoa, the majority are free living. However, many species from within the phyla Sarcomastigophora and Ciliophora are
Will the plant-incorporated protectants rules affect the Bt reassessment? No. To make sure that our biotechnology assessments reflect the latest data on health and ecological e
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +91-977-207-8620
Phone: +91-977-207-8620
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd