What are the recommendations for the treatment of hypertension in stage C HF?
Recommendations for the treatment of hypertension in stage C HF include treating patients with previous or current symptoms of HFrEF with GDMT, including diuretics, ACE inhibitors (or ARBs if ACE inhibitor intolerant), -blockers, and aldosterone receptor antagonists. Furthermore, the addition of hydralazine/isosorbide dinitrate to the background treatment with ACE inhibitor or ARB and -blocker in self-described black patients with HFrEF and persistent NYHA class III or IV HF symptoms is beneficial to reduce morbidity and mortality and can lower BP in hypertensive patients with HFrEF. Additionally, the treatment of hypertension should include behavioral modification such as sodium restriction and a closely monitored exercise program. Weight reduction in overweight or obese, an appropriate diet, and moderation of alcohol intake are also recommended.