Outpatient Hypertension Management Algorithm

Monotherapy: 

 • Thiazide/thiazide-like 

 • ACE-I (non-black patients), 

 • ARB 

 • CCB (long acting) 

 • β-blocker (younger than 60 years)

Combined: 

 • ACE-I + CCB 

 • ARB + CCB  

 • ACE-I or ARB + Diuretic

Hypertensive  Urgency/Emergency - Target Organ Damage?

 • Hypertensive Encephalopathy 

 • Intracranial Hemorrhage 

 • Acute Ischemic Stoke* 

 • Aortic Dissection  

 • Acute Left Ventricular Failure 

 • Acute Coronary Syndrome  

 • Acute Kidney Injury   

 • Pre-Eclampsia

 • Drugs (Cocaine, Amphetamines, phencyclidine, monoamine oxidase inhibitors)



- Amy Chung, MD, MSc @AmyChung 



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