Very helpful overall. Suggest correction for hydrochlorothiazide: Can cause low: Na, K, and less commonly Mg. Does NOT increase potassium, HCTZ decreases serum potassium levels. HCTZ may increase serum Calcium levels. Michael Parker, PharmD, BCACP, CDCES
CORRECTION: Chart: Population / Medication Considerations: BB DECREASE MORTALITY s/p MI. BB do NOT increase mortality s/p MI. --------------- CHF, recommendations are dependent on HFrEF or HFpEF. We prefer Non-DHP CCB in patients with HFpEF because the problem is impaired LV chamber filling due to inadequate time between diastole & systole. Cardiac Output = HR x SV. Use of Non-DHP CCB in patients with HFpEF thereby increases stroke volume and subsequently Cardiac Output, which may improve CHF symptoms and improve overall perfusion. Michael Parker, PharmD, BCACP, CDCES
for Lifestyle Changes: Diet: i.e. DASH is ineffective at reducing High Blood Pressure … Reduction of Carbohydrates, Intermittent fasting 5:2 is effective at reducing High blood pressure.
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