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.
Similarities in cloning and selective breeding cloning (not transgenesis) and selective breeding both transfer whole genome both selective breeding and cloning have t
Which of the following best describes the tenants of Pangenesis Theory? A. The hereditary material is composed in every organ/tissue and is transmitted to the next generation b
how fertilization occur in human?
As we age, our skin wrinkles due to change in collagen and elastic fibers in the dermis and a decrease in their production. Explain why topical application of collagen and elastic
Explain the periodic table of the elements ? Periodic Table of the Elements : An element is a pure substance composed of atoms all of a single kind. It cannot be broken down
How to Calculate the Biological Value of Protein? A method for determining the biological value of proteins was developed by Mitchell in 1925. It measures the quantity of dieta
Defective extra-preputial protrusion of the penis This defect is a result of hypoplasia or a defective penile erection due to a congenital mucosal fold – the frenulum - betwee
State the Testing of Ketones in Urine Ketones are also known as ketone bodies. Ketone bodies are catabolic products of free fatty acids and three ketone bodies that can be dete
Define Clinical Assessment For Vitamin A? Clinical features of deficiency occur as ocular and extra ocular lesions. Ocular lesions affect the posterior segment of the eye init
Q. Explain Brachial or Radial Approach ? This technique involves performing the coronary angiogram through the right brachial artery in the right ante-cubital fossa. Usually a
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