We want to discuss the new “Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults” of the American College and Cardiology and the American Heart Association regarding of principles of therapy.
Beta-blockers are no longer considered first-line therapy for uncomplicated hypertension, so they are recommended for appointment only in cases where the heart rate of patients is significantly higher than 80, and this is normal. But then we have a question to authors of guidelines why for example they attributed to the first line of therapy angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and calcium channel blockers without necessary limitations. We know that angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are effective in cases of diastolic and systole-diastolic hypertension when calcium channel blockers are effective in cases of systolic and systole-diastolic hypertension. Agree that each patient with hypertension is unique and requires personalized treatment.
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