What medications are recommended for patients with hypertension, stage B HF, and structural heart disease or LV dysfunction?
In patients with stage B HF with structural heart disease or LV dysfunction but without HF symptoms, there is benefit with ACE inhibitors, ARBs, or -blockers (Table 3). Thus, in patients with a recent or remote history of MI or acute coronary syndrome and reduced ejection fraction (EF), ACE inhibitors49 51 (or ARBs if the patient is ACE inhibitor intolerant30,52 ) prevent symptomatic HF and reduce mortality. In addition to medications, patients with hypertension should be advised on healthy lifestyle modification; weight reduction; reduction of sodium intake; increased consumption of fruits, vegetables, and low-fat dairy products; and moderation of alcohol intake.7,9,14