Blood pressure elevated

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WFH

przez Jason Plevell

Drug Use, Abuse, and Misuse During Pregnancy

przez Traci Stephenson

SIL2012 Sam Mort

przez Sam Waters

ACE inhibitor

przez Damian Guzman

Blood pressure elevated

Compelling Indication

Pregnancy

Pre-existing

TZD before pregnancy

may continue

Methyldopa, Labetal, consider Nipedipine ER last

>20 weeks, >140/90

ER referral

CKD

Stage 3 or 4

Stage 1 or 2

No albuminuria

DM

No Albuminuria

Non-black

ACE/ARB or TZD or CCB

CCB or TZD

Albuminuria

ACE/ARB + (CCB and/or TZD)

SIHD

ACE/ARB + BB

HTN still not resolved

Add CCB, TZD or MRA

Chest pain

CCB

HFrEF

ACE/ARB/ARNI + BB

Class I-IV, Fluid Overload

Loop Diuretic

Class II-IV

Class II-IV, A fib or still symptomatic

Digoxin

Class II-IV, sinus rhythm, still symptomatic

Ivabradine

Class III-IV, Black or ACE/ARB intolerant

Hydralazine + Isosorbide Dinitrate

HFpEF

Stage B/C - ACE/ARB + BB

Fluid overload

Loop Diuretics

Hospitalized in <12 months

Aldosterone Antagonist + SGLT 2

Stage A - ACE/ARB

Secondary Stroke Prevention

BP < 140/90

BP > 140/90

TZD OR ACE+TZD

No Compelling Indication

ISH >140 / <90

TZD or CCB

Class 2 >150 / >90

ACE/ARB + CCB

CCB + TZD

Class 2 >140 / >90

Class 1 130-139 / 80-89

ASCVD > 10%

Non-Black

ACE/ARB OR TZD OR CCB (combine if necessary)

Aldosterone Antagonist and/or Beta Blocker

Black

CCB OR TZD

ASCVD <10%

Lifestyle Mods

Elevated 120-129/<80

Lifestyle Modifications, Goal <130/80