First/Second line HTN Flashcards
Trial that led to goal of less than 130/80?
SPRINT
Trial that led demonstrated benazepril better with DHP CCB?
ACCOMPLISH
Secondary stroke (Hx of stroke or TIA) 1st line?
thiazide or ACEi/ARB or combo with both
second line: DHP CCB
HFrEF 1st line?
ACE/ARB/ARNI AND BB
metoprolol succinate, bisoprolol, carvedilol
HFrEF 2nd lines?
MRA
hydralazine + isosorbide dinitrate (African Americans)
loop diuretic
HFpEF with fluid overload first line?
diuretics
HFpEF w/o fluid overload first line?
ACEi/ARB and/or BB
HFpEF w/o fluid overload second line?
DHP CCB
SIHD first line?
ACEi/ARB AND BB
SIHD second line?
DHP CCB
thiazide
MRA
Diabetes without albuminuria first line?
thiazide, DHP CCB, or ACEi/ARB
Diabetes with albuminuria first line?
ACEi/ARB
DM with albuminuria second line?
DHP CCB and thiazide
CKD stage 1 or 2 without albuminuria first line?
thiazide, DHP CCB, or ACEi/ARB
CKD stage 1 or 2 with albuminuria or CKD stage 3 or higher first line?
ACEi/ARB
second line:
DHP CCB and thiazide