33
Figure 5. Management of Hypertension in Patients With SIHD
Hypertension With SIHD
Angina
pectoris
Reduce BP to <130/80 mm Hg
with GDMT beta blockers
a
, ACE
inhibitor, or ARBs
b
(Class I)
a
GDMT beta blockers for BP control or relief of angina include carvedilol, metoprolol
tartrate, metoprolol succinate, nadolol, bisoprolol, propranolol, and timolol. Avoid beta
blockers with intrinsic sympathomimetic activity. e beta blocker atenolol should not be
used because it is less effective than placebo in reducing cardiovascular events.
b
If needed for BP control.
Colors correspond to Class of Recommendation on page 56–57.
BP goal not met
NO YES
Add dihydropyridine CCBs
if needed
(Class I)
Add dihydropyridine CCBs,
thiazide-type diuretics, and/or
MRAs as needed
(Class I)
