- 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.
