How to treat

Apply the rule "start low, go slow".

Depending on the severity of hypertension and cardiovascular risk, start with a drug combination.

Low cardiovascular risk and HTN grade I

• Monotherapy.

High to very high cardiovascular risk and HTN grade I.

• Monotherapy.

High to very high cardiovascular risk and HTN grade I.

• Monotherapy or association.

High to very high cardiovascular risk and HTN grade II

• Association
.

Antihypertensive drug choice based on co-morbidity.

Ischemic heart disease

• ß-blockers.
• Calcium channel blockers.
• ACE.

Heart failure

• Angiotensin II receptor antagonists.
• ACE.
• Diuretics.
• ß-blockers.
• Aldosterone receptor antagonists.

Asthma

• ACE.
• Angiotensin II receptor antagonists.
• Diuretics.

Dyslipidemia

• ACE.
• Calcium channel blockers.

Diabetes, proteinuria

• ACE.
• Angiotensin II receptor antagonists.
• ß-blockers.

Pregnancy

• No diuretics or ACE.
• Alpha-methyldopa (Aldomet).
• Labetalol (Trandate).
• Calcium channel blockers.
• ß-blockers.