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.
Is there a difference between something that is alive and something that is a living organism?
A vertical section of an ovule is shown below. The correct ploidy levels of the four structures P, Q, R and S respectively are: a. n, 2n, n, n b. 2n, n, n, n c.
family ,genus, class order , species of mollusca
Define the Management of Obesity? Management of obesity should be taken up with a clear understanding of the harsh realities of the problem and its outcome. It may be a frustra
Why mosquito bites and it causes itching? A mosquito does not really bite you, of course. It sucks your blood. To help enable effective blood sucking, it firstly injects ant
Illustrate the electrophysiology and ion transport of cornea? Electrophysiology and ion transport of cornea: The trans-epithelial potential is 25-35 mV. It is almost 50 p
Processing grains and oil seeds for animal feeding Simple processing of grains such as grinding facilitates the digestion particularly in cattle and buffaloes. Fine grinding of
If a plant of genotype A/a is selfed, and numerous offsprings are scored, what proportion of the progeny is expected to have homozygous genotypes?
The vast amount of genomic DNA in a eukaryotic cell is strongly packaged in chromosomes having within a specialized organelle and the nucleus. This very vast amount of e
How does bisulfite sequencing work ?
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