Treatment of Hypertension by Dr Sarma课件.ppt

* When it comes to hypertension, there are basically 6 classes of anti-hypertensives, with each appearing as a probable option. And the interesting part is that pharmaceutical companies push their product option forward as the ideal approach. This means that more often than not, we physicians are bombarded with confusing rather than convincing data, as to the right approach. Treatment of mild hypertension study (TOMHS) has conclusively proven that there is little if any distinction among the different anti-hypertensive agents for reducing blood pressure. The next question is then which antihypertensive? Naturally, one that has more favourable effects on cardiovascular endpoints and mortality. With studies like the HOPE trial proving that ACE inhibitors demonstrate dramatic cardioprotective effects apart from BP reduction, Ace inhibitors are getting better acceptance. But, ACE inhibitors could range from the old reliable tried and trusted ones like enalapril or the better researched and studied ones like ramipril or fosinopril? * * Case specific approach Case 18 HT + BPH α bloc, Tamsu Not BB Case 19 HT + ED α bloc, HZ, ACEi /CCB Not BB Case 20 HT + Pregnancy MD, HYZ, CCB Not ACEi, or ARB Case 21 HT + Gout, ? UA ACEi, CCB Not D Case 22 ISH Indap, Amlo, Enalapril Not BB Case 23 HT + Cough ACEi cough Cough remedy www.drsarma.in * Case specific approach Case 18 HT + BPH α bloc, Tamsu Not BB Case 19 HT + ED α bloc, HZ, ACEi /CCB Not BB Case 20 HT + Pregnancy MD, HYZ, CCB Not ACEi, or ARB Case 21 HT + Gout, ? UA ACEi, CCB Not D Case 22 ISH Indap, Amlo, Enalapril Not BB Case 23 HT + Cough ACEi cough Cough remedy www.drsarma.in * Case specific approach Case 18 HT + BPH α bloc, Tamsu Not BB Case 19 HT + ED α bloc, HZ, ACEi /CCB Not BB Case 20 HT + Pregnancy MD, HYZ, CCB Not ACEi, or ARB Case 21 HT + Gout, ? UA ACEi, CCB Not D Case 22 ISH - SBP 140 Indap, Amlo, Enalapril Not BB Case 23 HT + Cough ACEi cough Cough remedy www.drsarma.in * Case specific approach Cas