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不同并发症的高血压患者用药原则 劳力型心绞痛 因心率减少、血压下降而使心肌需氧量减少,因此应以β受体阻滞剂为基础,并用硝酸酯类或钙拮抗类药物。 非劳力型心绞痛 为了预防冠状动脉痉挛,可用钙拮抗剂;发作时原则上要用硝酸酯类药物。平时可并用抗血小板药,但不能并用β受体阻滞剂,因为它可以诱发冠状动脉痉挛。
Hypertensive patients with different complications of drug use principle of angina pectoris due to decreased heart rate, blood pressure and decreased myocardial oxygen demand, it should be based on β-blockers, and with nitrates or calcium antagonist drugs. Non-labor type angina In order to prevent coronary artery spasm, calcium antagonists can be used; seizure in principle to use nitrate drugs. Usually can be combined with antiplatelet drugs, but not with beta blockers, because it can induce coronary artery spasm.