高血壓用藥和治療原則@ 急診小醫師 | olmesartan優點
(北市醫仁愛醫院內科的網站 https://renaimed.net/use-of-diuretics-in-patients-with-hypertension/[1])fromuptodate.降壓的程度與心血管疾病降低的機率有關,與選擇的藥物種類無關.血壓相近的病患,不管是用哪一種藥物,對心血管保護力相當. Importanceofattainedbloodpressure—Meta-analyses,the2017AmericanCollegeofCardiology/AmericanHeartAssociationstatementonthetreatmentofbloodpressure[6],andthe2013EuropeanSocietyofHypertension/EuropeanSocietyofCardiologyguidelinesonthemanagementofhypertensionallconcludedthatth...
(北市醫仁愛醫院內科的網站 https://renaimed.net/use-of-diuretics-in-patients-with-hypertension/[1])
from uptodate. 降壓的程度與心血管疾病降低的機率有關, 與選擇的藥物種類無關. 血壓相近的病患, 不管是用哪一種藥物, 對心血管保護力相當.
Importance of attained blood pressure — Meta-analyses, the 2017 American College of Cardiology/American Heart Association statement on the treatment of blood pressure [6], and the 2013 European Society of Hypertension/European Society of Cardiology guidelines on the management of hypertension all concluded that the amount of blood pressure reduction is the major determinant of reduction in cardiovascular risk in both younger and older patients with hypertension, not the choice of antihypertensive drug (assuming that the patient does not have an indication for a particular drug, such as diltiazem, verapamil, or a beta blocker for rate control in atrial fibrillation)
選擇利尿劑最為第一線或第二線的治療, 建議先選 chlorthalidone (12.5 to a maximum of 25 mg/day) , 缺點是有較高的低血鉀, 血糖耐受不良, 新發作的糖尿病機率
不過 chlorthalidone 沒有複方藥物...