항고혈압제 선택

Figure 126-1: Initiation of therapy in pts with HTN.

Table 126-2: Guidelines for selecting initial drug treatment of hypertension.

Firstline: diuretics (thiazide > loop), ACE-i, ARB, CCB, BB. 

 

임신: 주로 methyldopa, labetalol, hydralazine 사용. CCB (nifedipine) 가능. BB 조심히 사용 (fetal hypoglycemia, low birth weights). ACE inhibitors, ARBs 금기.

 

신질환: 일반 thiazide 보단 metolazone, furosemide, bumetanide 사용.

 

당뇨: <130/80 유지. ACE inhibitors, ARB 가 TOC

 

 

 

Reference: Harrison's Principles of Internal Medicine, 20e. Chapter 126: Hypertension.