Abstract: . . .  (mm Hg) Risk Group A (No risk factors) Risk Group B (1 - 2 risk factors) Risk Group C (=3 risk factors or Diabetes Mellitus or TOD/ACC) Systolic BP 130-139 mmHg/ Diastolic BP 80-89mmHg LM LM LM+Rx Systolic BP 140-159 mmHg/ Diastolic BP 90-99mmHg LM+Rx* LM+Rx LM+Rx Systolic BP =160 mmHg/ Diastolic BP =100 mmHg LM+Rx LM+Rx LM+Rx * if BP control inadequate with LM alone TOD = Target Organ Disease ACC = Associated Clinical Condition LM = Lifestyle Modification Rx = Drug Therapy Low risk Moderate risk High risk 7 Page 8 Guidelines for selecting drug treatment of hypertension Concomitant Recommended Contraindicated Conditions Drugs Drugs Heart Failure diuretics calcium channel ACE inhibitors blockers* angiotensin II receptor blockers Angina beta-blockers calcium channel blockers Post Myocardial beta-blockers Infarction ACE inhibitors angiotensin II receptor blockers Isolated Systolic Hypertension diuretic calcium channel blockers ACE inhibitors angiotensin II receptor blockers Diabetes Mellitus with ACE inhibitors Proteinuria (micro or angiotensin II receptor Macroalbuminuria) blockers Diabetes Mellitus ACE inhibitors angiotensin II receptor blockers calcium channel blockers diuretics beta-blockers Post-Stroke diuretics ACE inhibitors Asthma & Chronic beta-blockers Obstructive Pulmonary Disease Heart Block beta-blockers calcium channel blockers* Gout diuretics Bilateral Renal Artery ACE inhibitors Stenosis angiotensin II receptor blockers * verapamil or diltiazem 8  . . .
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