Snapshot Introduction Presentation Physical exam login to view 1 more bullet Studies Studies to evaluate for end-organ damage login to view 7 more bullets Blood PressureCategorySystolic (mmHg)And/OrDiastolic (mmHg)Normal< 120And< 80Elevated120-129And< 80Hypertension stage 1130-139Or80-89Hypertension stage 2> 140Or> 90Hypertensive crisis> 180And/Or>120 Treatment Goals of treatment login to view 2 more bullets Medical login to view 21 more bullets DrugIndicationsContraindicationsSide Effectsβ-blockersNo comorbid diseasePrevious MICADPregnancyuse labetololavoid atenolol due to intrauterine growth restrictionYoung CaucasianLow EFAnginaCADCoexistent benign essential tremorPerioperative BP managementCOPDHyperkalemiaHypoglycemic eventsAsthmaticsBradycardiaBronchospasmErectile dysfunctionThiazide diuretics1st-line medication if no comorbid disease1st-line medication in isolated systolic hypertensionAfrican-AmericansCHFOsteoporosis (thiazides)GoutDiabetes (thiazide)Renal failure (K+ sparing)Decrease excretion of calcium and uric acid; hypoNaACEIsDiabeticsPrevious MIChronic Kidney DiseaseLow EFPregnancyRenal artery stenosisRenal failureCough (substitute ARB)AngioedemaHyperkalemiaCalcium channel blockersSecond-line agentsIf other medication fails or if needed for controlling comorbiditiesLower extremity edemaα-blockersBPHCHF: can increase risk of heart failureDizzinessHeadacheWeakness Complications High Yield Medication Chart for Hypertension Treatment for Diseases DiseaseBlood Pressure Medication IndicationCoronary artery diseaseβ-BlockerHyperthyroidismGrave's diseaseCongestive heart failureβ-BlockerACE-IARBMigraineβ-BlockerCalcium channel blcokerOsteoporosisThiazide diureticsHypocalcemiaDepressionAvoidβ-blockersAsthmaPregnancyα-MethyldopaLabetalolNifedipineBenign prostatic hypertrophyα-BlockerDiabetesACE-IARBSclerodermaACE-IPeri-operative blood pressure managementβ-blockers (metoprolol)