05-22-2012, 07:40 AM
why don't we give ACE inhibitors + B blockers in HTN but this combo is ok in CHF/CAD?
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CVS question - drsahiba
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05-22-2012, 07:58 AM
who said ace inhibitors + b-blockers are ok in CHF ?
diuertics + ace inhibitiors = OK in CHF never heard of the combo ace + beta blocker  you can give one or the other not both together.... no need for that
05-22-2012, 07:59 AM
related to increased hyperkalemia toxicity of ace i + b beta blockers
05-22-2012, 08:02 AM
b blockers are given in cad/chf for the better prognosis and cardioprotective effect
I dont know why this combo is avoided in HTN
05-22-2012, 08:06 AM
primary treatment of CHF == > loop + ace
primary treatment of HTN == > beta blockers -> specifically metoprolol as it decreases mortality the only beta blocker.... you can give ACE also depending on the cause of HTN ... but if you have a patient whose a chronic smoker + HTN = > whats the drug of choice ? beta blocker or ACE ??
05-22-2012, 08:06 AM
basically my point is... B blockers reduce renin which reduces ATII so ACE inhibitors cannot perform their action on the low ATII and would have no effect on HTN to reduce BP [UW]
B blockers ARE given in compensated CHF and CONTRAINDICATED in decompensated CHF [FA] (here is a question... what's the difference between the two?)
05-22-2012, 08:55 AM
@777 why ace ? the side effect of that is cough !!
05-22-2012, 09:03 AM
sorry for the delayed reply, got bz in something. so ACE inhibitor wouldn't be recc in a smoker with HTN pt b/c it causes coughing.
i would agree that primary treatment of HTN give B blockers but interestingly FA doesn't even have B blockers as an option! however, one of the initial treatments reccommended for HTN would be diuretics |
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