UNIDAD MEDICA DE TAMPICO

Dr. Antonio Argáez Lam

argaezantonio@aol.com

Teléfono  833 214 4040

HIPERTENSION CONSIDERACIONES PARA SELECCIONAR LA MEJOR TERAPIA DE ACUERDO A PATOLOGÍA AGREGADA

INDICACIÓN                                                                                    MEDICAMENTO

Diabetes tipo 1 con proteinuria                                                               IECA

Falla sistólica del corazón                                                                           IECA, diuréticos, B bloq.

Hipertensión sistólica aislada (viejos)                                    Diuréticos

Infarto al miocardio                                                                                      B bloqueadores.

Angina                                                                                                               B bloqueadores

Diabetes tipo 1 y 2 con proteinuria                                                        IECA

Dislipidemia                                                                                                     Alfa bloq

Hipertiroidismo                                                                                              B bloq

Migraña                                                                                                             B bloq no selectivos

Osteoporosis                                                                                                  Tiazidas

Hipertensión preoperatoria                                                                      B bloq

Hiperplasia prostática benigna                                                 Alfa bloq

Insuf. Renal                                                                                                     IECA

CONTRAINDICACIONES

EVITAR CUANDO TENGA DX DE                                               MEDICAMENTO

Enf. Bronco espasmo                                                                                   B bloq

Depresión                                                                                                        B bloq. Reserpina

Diabetes tipo 1 y 2                                                                                        B bloq. Diuréticos a dosis elevad

Dislipidemias                                                                                                   B bloq. Diuréticos a dosis altas

Gota                                                                                                                   diuréticos

Segundo o 3er. Grado de bloq. Cardiaco                                             B bloq

Enfermedad hepática                                                                                  labetalol. Metildopa

Enf. Vasc. Periférica                                                                                     B bloq

Embarazo                                                                                                         IECA. Bloq. De angiotensina II

Insuf. Renal                                                                                                     agentes ahorradores de potasio

Enfermedad renal                                                                                         IECA. Bloq. De angiotensina II