Treatment of Hypertension in Association with Ischemic Heart Disease

Guidelines for Patients with Hypertension Who Have Had a Recent Myocardial Infarction

1. Initial therapy should include both a beta-blocker and an ACE inhibitor (Grade A).
2. An ARB can be used if the patient is intolerant of an ACE inhibitor (Grade A in patients with left ventricular systolic dysfunction).
3. CCBs may be used in patients after postmyocardial infarction when beta-blockers are contraindicated or not effective. Nondihydropyridine CCBs should not be used when there is heart failure, as evidenced by pulmonary congestion on examination or radiography (Grade D).