Review Article
Hypertensive Patients and Their Management in Dentistry
Table 4
Mechanisms implicated in essential hypertension and antihypertensive medication classes targeting these mechanisms [
4].
| Mechanism | Medication targeting the mechanism | Examples |
| Volume overload | Diuretics Dihydropyridine CCBs | Hydrochlorothiazide, Chlorthalidone, Metolazone, Furosemide, Torsemide Amlodipine, Nifedipine |
| Renin-angiotensin-aldosterone system | ACEIs ARBs -blockers Direct renin inhibitors Aldosterone receptor blockers | Lisinopril, Captopril Losartan, Valsartan Metoprolol, Carvedilol Aliskiren Spironolactone, Eplerenone |
| Sympathetic nervous system | Central -blockers Peripheral -blockers -blockers Nondihydropyridine CCBs Vasodilators | Clonidine Tamsulosin, Terazosin Metoprolol, Carvedilol Verapamil, Diltiazem Minoxidil, Hydralazine, Nitrates |
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ACEI: angiotensin-converting enzyme inhibitor; ARB: angiotensin II receptor blocker; CCB: calcium-channel blocker. Data from [2].
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