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 #Outpatient #Hypertension #Management #Algorithm #PrimaryCare