What drugs should be used for patients with hypertension and coronary heart disease? What drugs shou

You can consult your family doctor or primary care physician instead of dictating what medicine to take and what not to take.

The principle of hypertension combined with coronary heart disease is to control hypertension and dig up the risk of coronary heart disease, and drugs with both high blood pressure and coronary heart disease can be selected, such as diaphragm receptor blockers, metoprolol, suitable for patients with high blood pressure and fast heart rate, angiotensin-converting enzyme inhibitors, which not only control hypertension, but also have the effect of protecting the heart, and can be appropriately selected. For patients with hypertension and coronary heart disease, hydralazine should not be used**, and for patients with cerebral arteriosclerosis, tachycardia, angina sand, it is also best not to choose hydralazine to carry out**, most of the drugs for patients with hypertension and coronary heart disease will be used as follows, firstly, aspirin, aspirin has the effect of anti-platelet aggregation and improving microcirculation, patients with hypertension and coronary heart disease need to take aspirin for life, secondly, statin lipid-regulating drugs, To prevent the further proliferation of polythrombotic plaques, with the effect of lowering blood lipids, patients with hypertension and coronary heart disease choose the first choice of Puli-drugs and dipine drugs, which have the effect of reducing the risk of death from coronary heart disease, and the most commonly used drugs in the dipine class are nifedipine, amlodipine drugs in lowering blood pressure at the same time, but also have anti-platelet aggregation effect.

Answer]: nifedipine is used for the prevention and treatment of angina pectoris due to coronary heart disease, especially angina pectoris caused by Wano variant angina and coronary artery spasm. It has no adverse effect on respiratory function, so it is suitable for angina patients with respiratory obstructive congestion disease, and its therapeutic effect is better than that of receptor antagonists.

It is also suitable for various types of hypertension, and also has a good effect on refractory and severe hypertension. Because it can reduce afterload, it also has a good effect on refractory congestive heart failure, and is suitable for long-term use.

Answer]: C Receptor blockers should be preferred in young patients with hypertension and sinus tachycardia. Therefore, item C is selected.

The following drugs are indicated for high blood pressure with heart failure ().

a.Vasodilators.

b.Receptor is a wide antagonist.

c.Angiotensin envy convertase inhibitor (ACE inhibitor) DDiuretic.

e.Angiotensin is referred to as a clear body antagonist.

Correct answer: d

Answer: B

A large number of clinical evidence-based medical data have proved that diuretics can effectively lower blood pressure, reduce the incidence of complications and mortality in hypertensive patients, and are the preferred drugs for patients with uncomplicated hypertension. Receptor blockers are a safe and effective antihypertensive drug that can be widely used in patients with mild to moderate hypertension, especially those with high renin activity. However, due to the ability to induce smooth muscle spasm, patients with asthma, chronic obstructive pulmonary disease, and peripheral vascular disease are generally contraindicated.

Large clinical trials have confirmed that ACE inhibitors can increase glomerular filtration rate and renal blood flow, and reduce microproteinuria in patients with hypertension and diabetic nephropathy, so they are the first choice for such patients. Angiotensin receptor antagonists (ARBs) are used in similar audiences to ACE inhibitors, but ARBs have been shown to lower serum uric acid and can be used in patients with gout. The antihypertensive drugs that are relatively safe for hypertension in pregnant women are some calcium antagonistic jujube inhibitors.

Answer]: Angiotensin-converting enzyme inhibitors (ACE inhibitors) are suitable for all types of hypertension. ACE inhibitors are the drug of choice for hypertensive patients with left ventricular hypertrophy, left ventricular dysfunction, acute myocardial infarction, glycopathy, and nightshade nephropathy.

Answer]: b, d, e

This question examines the communication between pharmacists and other medical workers. In general, systolic and diastolic blood pressure rise rapidly after waking up in the morning, reaching a peak at 9 to 10 a.m., and begin to decrease at night, falling to a trough during sleep, which is called arytenoid hypertension; However, a small number of patients (about 10) have abnormal circadian blood pressure, arteriosclerosis, and left heart insufficiency, and their blood pressure at night does not decrease or even higher than that of daytime blood pressure, and the blood pressure fluctuation shows a non-arytenoid curve, which is called non-arytenoid hypertension. For patients with arytenoid hypertension, long-acting antihypertensive drugs should be taken only once a day, with the best time to take them around 7 a.m.; If you are taking moderate antihypertensive drugs, take them twice a day, preferably at 7 a.m. and 3 to 6 p.m.

It is not advisable to take the medicine before going to bed or at night to avoid low blood pressure, which will cause insufficient circulating blood flow and blood oxygen perfusion, and easily lead to ischemic stroke. For patients with non-arytenoid hypertension, they can take medicine at night before going to bed, which can better correct nocturnal hypertension. Some anti-cold medicines contain a nasal decongestant, such as pseudoephedrine, which can constrict blood vessels, causing increased blood pressure, headaches, and patients with cerebrovascular diseases such as high blood pressure should avoid taking them.

Antihypertensive drugs are also called "maintenance pills" and must be taken consistently.

Answer]: BA item, diuretics are mainly suitable for uncomplicated Kaiqing Peng old and moderate hypertension and former patients. Item b, - Receptor blockers can induce smooth muscle spasm, so they are contraindicated in patients with asthma, chronic obstructive pulmonary disease, peripheral vascular disease, etc.

C, angiotensin-converting enzyme inhibitors (ACE inhibitors) are preferred because they increase glomerular filtration rate and renal plasma flow and reduce microproteinuria in patients with hypertension and diabetic nephropathy. D, the safer antihypertensive drug for hypertensive pregnant women is calcium channel blockers. In item E, ARB can lower serum uric acid, so it is suitable for patients with gout.