By vgreene, 31 October, 2019 HF Treat volume overload w loop diuretics plus more agents if needed HFrEF Use ACEI ARB1 or ARNI along w certain BBs 3 MRAs 3 don t use nondihydropyridine CCB 1 HFpEF ACE ARB 1 certain BBs 3 MRAs3
By vgreene, 31 October, 2019 CAD Certain BB ACEI ARB If angina add dihydropyridine CCB to BB if needed If hx MI ACS Continue BB and use ACEI ARB if still not at goal add dihydropyridine CCB thiazide diuretics eg chlorthalidone and or MRA1
By vgreene, 31 October, 2019 If DM chronic HTN pregnant initiation titration tx for BP threshold of 140 90 assoc w better outcomes and no uarr in risk of small for gestational age birth than reserving tx for severe HTN target 110 135 85 for darr the risk of accelerated HTN in pregnan
By vgreene, 31 October, 2019 Choose 1st line drug1 2 thiazide diuretic ACEI ARB CCB factoring conditions plus lifestyle 1 If SBP 140 or DBP 90 while 20 10 over target use 2 drugs w differing1 actions per ACC AHA ADA2 2 drug threshold 160 100
By vgreene, 31 October, 2019 Peer-reviewed & based on multiple guidelines/recommendations from specialty societies/government agencies.