Download presentation
Presentation is loading. Please wait.
Published byKirsten Hartmann Modified over 6 years ago
1
Step Care Therapy for Hypertension in Diabetic Patients
Joseph L. Blackshear, MD, Gary L. Schwartz, MD Mayo Clinic Proceedings Volume 76, Issue 12, Pages (December 2001) DOI: / Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions
2
Figure 1 General algorithm for management of hypertension in diabetic patients. *In many patients with congestive heart failure (CHF) due to left ventricular systolic dysfunction, diuretics will already have been prescribed to treat symptoms of fluid overload. Angiotensin-converting enzyme (ACE) inhibitors and β-blockers should then be added for further improvement of symptoms and survival. As noted in the footnote to Table 3, combined β-blocker and ACE inhibitor therapy is likely indicated in patients with known coronary artery disease (CAD), diabetes, and a clear indication for β-blocker use. ARB = angiotensin receptor blocker; BP = blood pressure; MI = myocardial infarction. †If management of proteinuria is a priority, diltiazem or verapamil may be substituted for the ACE inhibitor and diuretic. Mayo Clinic Proceedings , DOI: ( / ) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.