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Cardiovascular Medications First-Line Therapy Guidelines

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30 Questions

Which class of antihypertensive agents is preferred as first-line therapy for stage 1 hypertension?

Diuretics

For individuals with Ischemic Heart Disease, what drug class is the first choice for stable angina?

Beta blockers

In acute coronary syndrome, which two drug classes are recommended for treatment?

Beta blockers and ACE inhibitors

For individuals with Heart Failure, which two drug classes are recommended for asymptomatic individuals?

ACE inhibitors and aldosterone blockers

What is the targeted BP goal for patients with Diabetes Mellitus?

130/80

Which combination of drug classes can lower the rate of recurrent stroke in individuals with Cerebrovascular Disease?

ACE inhibitors and thiazide-type diuretics

For individuals with Left Ventricular Hypertrophy, what is recommended among the following?

Aggressive BP management and calcium channel blockers

In cases of Chronic Kidney Disease, what is recommended for BP management?

Aggressive management with ACE inhibitors and ARBs

For patients with Obesity and Metabolic Syndrome, what is recommended?

Lifestyle modifications and drug therapy for each component of metabolic syndrome

Which drug classes are acceptable for treatment of individuals with any stage of hypertension?

All classes of antihypertensive agents

Which class of medication acts by inhibiting Dipeptidyl Peptidase-4 enzyme?

Dipeptidyl Peptidase-4 Inhibitors

Which medication promotes insulin secretion, suppresses glucagon, and slows gastric emptying?

Exenatide

In which condition should Pramlintide Acetate be avoided due to contraindications?

Type 1 DM

Which of the following medication can be prescribed as an injectable only?

Pramlintide

Among the listed adverse drug effects (ADE), which one is commonly associated with Dipeptidyl Peptidase-4 Inhibitors like Sitagliptin?

Hypoglycemia

What is the primary mechanism of action of Pramlintide Acetate?

Regulation of appetite

Which class of medication can be used either as monotherapy or in combination with Meformin and sulfonylureas?

Dipeptidyl Peptidase-4 Inhibitors

Which medication should be avoided in individuals with a history of pancreatitis?

Exenatide

What is a common adverse drug effect associated with Exenatide?

UTIs

For which type of diabetes is Pramlintide Acetate indicated to help regulate wide glycemic swings?

Type 1 DM

Which medication is specifically avoided in patients with history of pancreatitis?

Sitagliptin

What is the primary mechanism of action of Meglitinide Analogs like Repaglinide?

Blocks ATP potassium channels on beta islet cells

Which medication should be used cautiously in patients with renal dysfunction?

Rosiglitazone

In which condition is Metformin contraindicated?

Type 1 Diabetes Mellitus

Which medication is preferred for Black patients with or without Diabetes Mellitus?

Thiazide diuretics

What is the primary rationale behind the use of Alpha antagonists like tamsulosin for Benign Prostatic Hypertrophy (BPH)?

Avoids increased cardiovascular mortality

Which group of patients would most benefit from initial treatment with ACEIs, ARBs, thiazide diuretics, or CCBs?

Hispanic patients

What is the key purpose of using Sulfonylureas like glyburide or glimepiride when treating Diabetes Mellitus?

Improve target cell insulin response

Which drug is specifically avoided in chronic kidney disease for blood pressure management?

Rosiglitazone

What is the key benefit of Metformin in patients with Diabetes Mellitus?

Doesn't cause hypoglycemia

Learn about the first-line therapy medications for various cardiovascular conditions including hypertension, ischemic heart disease, acute coronary syndrome, and heart failure. Understand the preferred medications and treatment guidelines for each condition.

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