Review Article

Hypertensive Patients and Their Management in Dentistry

Table 4

Mechanisms implicated in essential hypertension and antihypertensive medication classes targeting these mechanisms [4].

MechanismMedication targeting the mechanismExamples

Volume overloadDiuretics
Dihydropyridine CCBs
Hydrochlorothiazide, Chlorthalidone, Metolazone,
Furosemide, Torsemide
Amlodipine, Nifedipine

Renin-angiotensin-aldosterone systemACEIs
ARBs
-blockers
Direct renin inhibitors
Aldosterone receptor blockers
Lisinopril, Captopril
Losartan, Valsartan
Metoprolol, Carvedilol
Aliskiren
Spironolactone, Eplerenone

Sympathetic nervous systemCentral -blockers
Peripheral -blockers
-blockers
Nondihydropyridine CCBs
Vasodilators
Clonidine
Tamsulosin, Terazosin
Metoprolol, Carvedilol
Verapamil, Diltiazem
Minoxidil, Hydralazine, Nitrates

ACEI: angiotensin-converting enzyme inhibitor; ARB: angiotensin II receptor blocker; CCB: calcium-channel blocker.
Data from [2].