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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hypertension

Bio 202 Cardiovascular Case Study #2 A 5 6 , 210 lb., 64-year-old male business executive had a physical exam prior to his retirement from corporate work. His blood pressure was 180/115 on three separate days. Further examination showed normal to low plasma renin activity, elevated total peripheral resistance (TPR), cardiac output (CO) of 7.2 L/min, x-ray evidence of left ventricular hypertrophy, retinal hemorrhages, and mild polyuria. Recommended therapy was weight reduction to his ideal level, a low-salt diet (2.     Explain the sites of action for the three pharmacologic agents prescribed for this individual: Diuretic, Beta Blocker, Vasodilator3.Why was the vasodilator not used before the other drugs were added? 4.How would you treat this persons hypertension? Include at least 4 options.5. What are the pharmacological steps to treat CHF?
Mon, 9 Jan 2017
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Cardiologist 's  Response
Hi,

Diuretics act on kidney, beta blockers on heart, vasodilator on peripheral vessels. Vasodilator are not used because of their side effects like tachycardia and other side effects. Also they are not adequately studied. He should be started, either of three categories, ace inhibitor like Ramipril, arbs like Telmisartan or calcium channel blockers like Amlodipine, diuretics like Thiazides.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sagar Makode
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Suggest Treatment For Hypertension

Hi, Diuretics act on kidney, beta blockers on heart, vasodilator on peripheral vessels. Vasodilator are not used because of their side effects like tachycardia and other side effects. Also they are not adequately studied. He should be started, either of three categories, ace inhibitor like Ramipril, arbs like Telmisartan or calcium channel blockers like Amlodipine, diuretics like Thiazides. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode