Wednesday, April 27, 2011

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Hypertension - management in African Americans

1) Increase dietary potassium intake
2) Limit dietary sodium intake to < 2.4 gm/day
3) Increase physical activity
4) Weight loss
5) All antihypertensive medications and combinations are effective
6) Multiple drug combinations may be required to achieve control
7) Angiotensin-converting enzyme (ACE) inhibitors and beta blockers as monotherapy may be less effective but should be used when indicated (e.g., renal disease, heart failure, post–myocardial infarction)
8) Thiazide diuretics and calcium channel blockers may have greater blood pressure–lowering efficacy
9) A higher incidence of angioedema occurs when using ACE inhibitors


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