Hypertension Algorithim

Question 1

HTN General Population
Not Black

Answer 1

Thiazides, ACE Inhibitors, ARB’s, Calcium Channel Blockers one or in combination

Question 2

HTN General Population
Black

Answer 2

Thiazides, Calcium Channel Blockers alone or in combination
+Chlorthalidone most common used in black population
+ Calcium channel blockers “pine” drugs and Verapamil, Diltiazem

Question 3

HTN Dibetes w/o CKD
Not Black

Answer 3

Thiazides, ACE Inhibitors, ARB’s , Calcium channel blockers one or in combination

Question 4

HTN Diabetes w/o CKD
Black

Answer 4

Thiazides, Calcium Channel Blockers one or in combination
+Chlorthalidone most common in black population
+ CCB “ Pine “ and Verapamil, Diltiazem

Question 5

HTN CKD with or without diabetes
RACE DOESN’T MATTER

Answer 5

ACE Inhibitor, ARB’s alone or in combination with other drug class

Question 6

ACE Inhibitors

Answer 6

” Pril “
Lisinopril
Contraindicated bilateral renal artery stenosis
Not safe for pregnancy
Start low dose due to high risk hypotension

Question 7

ARB’s

Answer 7

” Sartan”
Contraindicated bilateral renal artery stenosis
Not safe for pregnancy

Question 8

HTN Pregnant

Answer 8

Labetalol - later in pregnancy
Methyldopa - If dx during pregnancy

Question 9

Thiazide diuretics

Answer 9

Chlorothiazide
Chlorthalidone - most used in black population

Question 10

Calcium channel blockers

Answer 10

” pine “
Diltiazem
Verapamil

Question 11

Beta Blockers

Answer 11

” lol “
+ Can be added on to treatment of HTN