Outpatient Hypertension Management Algorithm
Monotherapy:
• Thiazide/thiazide-like
• ACE-I (non-black patients),
• ARB
• CCB (long acting)
• β-blocker (younger than 60 years)
Combined:
• ACE-I + CCB
• ARB + CCB
• ACE-I or ARB + Diuretic
Hypertensive Urgency/Emergency - Target Organ Damage?
• Hypertensive Encephalopathy
• Intracranial Hemorrhage
• Acute Ischemic Stoke*
• Aortic Dissection
• Acute Left Ventricular Failure
• Acute Coronary Syndrome
• Acute Kidney Injury
• Pre-Eclampsia
• Drugs (Cocaine, Amphetamines, phencyclidine, monoamine oxidase inhibitors)
- Amy Chung, MD, MSc @AmyChung
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