Hydralazine should not be used as a first-line therapy for HTN because it requires up to 4 times daily dosing.studies have shown that black patients respond better to diuretics and calcium channel blockers.post-mi patients should be on a beta blocker and an ace inhibitor.diabetics and pts with reduced lv systolic dysfunction should always be started with an aceinhibitor first.U S M LE S T E P 2 C K UW N OT E S O Orriiggiinnaallllyy bbyy:: g geennxxrraavveerr EEddiitteedd bbyy:: g giirrll^ ^iinntteerrrruup ptteed dĬARDIOLOGY: Hypertension/Hypotension For pts with HTN, in the absence of a specific indication or contraindication, diuretics and beta blockers are still recommended as the initial drug treatment.
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