USMLE Step 2 CK - hypertension
hypertension
yehia1982 - 10-29-08 07:36
which drug is considered first line in treating a 40 year old hypertensive with cronary artery disease :
a- beta blocker
b- diuretic
c ACE inhibitor
d- central alpha stimulant
e- peripheral alpha blocker
yehia1982 - 10-29-08 07:36
which drug is considered first line in treating a 40 year old hypertensive with cronary artery disease :
a- beta blocker
b- diuretic
c ACE inhibitor
d- central alpha stimulant
e- peripheral alpha blocker
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#2
Re: hypertension sackatdoc - 10-29-08 10:44 yes, very high yeild, and calcium channel blockers can also be used.labetelol is the drug for acte cases, with ischaemia.
#7
Re: hypertension sackatdoc - 10-29-08 16:50 and i am responsible for that typing mistake, bobby, i am to blame for confusing so no need to say that,i should read before i click send.
#10
Re: hypertension bingousmle - 11-17-08 07:22 hi Dr moazzamhyder. welcome to the forum.could you explain why ace inhibitors are to be preferred?
#11
Re: hypertension kingofhearts - 11-20-08 13:45 are you strictly waiting for him to answer or is it open to all of the members ......ok Dr. moazzamhyder please do reply soon we ARE waiting...
#12
Re: hypertension bingousmle - 11-20-08 22:42 it applies to anybody and everybody who believe ACE inhibitor should be the line of treatment in a hypertensive with coronary artery disease so that, we all, who think, a beta blocker is appropriate, know the rationale behind it !!
#13
Re: hypertension kingofhearts - 11-21-08 04:03 well it is beta blockers only i think .....unless Dr. moazzamhyder comes and gives us an explanation for using ace inhibitors......
#15
Re: hypertension moazzamhyder - 11-25-08 02:56 pharmacologic options for hypertension alone thiazide type diuretic reference allhat jama 2002 288 2981
concomitant cv disease may lead to compelling indications for specific drug classes HTN+atherosclerosis ACEI (hope nejm 2000 342 145 )
+angina beta blockers
+post mi b blockers acei ( bhat jama ave nejm hope )
+chf acei/arbs beta blockers diuretics
+diabetes mellitus although now diabetes is going to be simply called diabetes aceinhibitors
+chronic kidney disease acei/arbs nejm 1993 329 1456 2001 345 851 861 most pts with essential htn wil require 2 drugs or more to reach goal if on 2 drugs one should almost always be a thiazid etype diuretics
regard
#16
Re: hypertension sackatdoc - 11-25-08 23:56 please be advised to read the question properly, even I used to behave this way, some time back, reading q in hurry and landing up in a wrong answer, they are asking CORONARY ARTERY DISEASE AND you are answering atherosclerosis, how can you reach a right answer.PLEASE REVIEW, no offence intented.
#17
Re: hypertension aakprat - 12-19-08 01:38 its a, becos beta blockers are used post MI as they are negatively ionotropic they decrease the oxygen demand of the myocardium.
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