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cardio:ccb:dhp [2026/02/12 23:23] – created andrew2393cnscardio:ccb:dhp [2026/02/13 01:16] (current) – [Clinical Pearls] andrew2393cns
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 ===== Common DHP CCBs ===== ===== Common DHP CCBs =====
  
-• [[cardio:ccb:amlodipine|Amlodipine]]   +  * • [[cardio:ccb:amlodipine|Amlodipine]]   
-• [[cardio:ccb:nifedipine|Nifedipine]]   +  * • [[cardio:ccb:nifedipine|Nifedipine]]   
-• [[cardio:ccb:felodipine|Felodipine]]   +  * • [[cardio:ccb:felodipine|Felodipine]]   
-• [[cardio:ccb:nicardipine|Nicardipine]]   +  * • [[cardio:ccb:nicardipine|Nicardipine]]   
-• [[cardio:ccb:clevidipine|Clevidipine]]  +  * • [[cardio:ccb:clevidipine|Clevidipine]]  
  
 Most outpatient hypertension management uses: Most outpatient hypertension management uses:
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 ==== Hypertension ==== ==== Hypertension ====
  
-• First-line therapy   +  * • First-line therapy   
-• Effective in Black patients   +  * • Effective in Black patients   
-• Often combined with [[cardio:raas:acei|ACE Inhibitors]] or [[cardio:raas:arb|ARBs]]+  * • Often combined with [[cardio:raas:acei|ACE Inhibitors]] or [[cardio:raas:arb|ARBs]]
  
 → [[cardio:hypertension:start|Hypertension Module]] → [[cardio:hypertension:start|Hypertension Module]]
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 ==== Hypertensive Emergency (IV agents) ==== ==== Hypertensive Emergency (IV agents) ====
  
-• [[cardio:ccb:nicardipine|Nicardipine]]   +  * • [[cardio:ccb:nicardipine|Nicardipine]]   
-• [[cardio:ccb:clevidipine|Clevidipine]]  +  * • [[cardio:ccb:clevidipine|Clevidipine]]  
  
 Used for rapid BP control. Used for rapid BP control.
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 Use caution in: Use caution in:
  
-• Severe hypotension   +  * • Severe hypotension   
-• Advanced aortic stenosis  +  * • Advanced aortic stenosis  
  
 Generally safe in: Generally safe in:
  
 • HFrEF (amlodipine acceptable)   • HFrEF (amlodipine acceptable)  
 +
 Unlike: Unlike:
 +
 • [[cardio:ccb:non_dhp|Non-DHP CCBs]] which may worsen systolic HF. • [[cardio:ccb:non_dhp|Non-DHP CCBs]] which may worsen systolic HF.
  
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 DHP CCBs: DHP CCBs:
-• Vascular selective   +  * • Vascular selective   
-• Strong BP reduction   +  * • Strong BP reduction   
-• Minimal conduction effect  +  * • Minimal conduction effect  
  
 Non-DHP CCBs: Non-DHP CCBs:
-• Affect SA/AV node   +  * • Affect SA/AV node   
-• Reduce heart rate   +  * • Reduce heart rate   
-• Used in arrhythmias  +  * • Used in arrhythmias  
  
 See: See:
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 ===== Clinical Pearls ===== ===== Clinical Pearls =====
  
-✔ Potent arteriolar vasodilators   +  * ✔ Potent arteriolar vasodilators   
-✔ First-line for hypertension   +  * ✔ First-line for hypertension   
-✔ Excellent in Black patients   +  * ✔ Excellent in Black patients   
-✔ Peripheral edema is common   +  * ✔ Peripheral edema is common   
-✔ Safe in HFrEF (amlodipine)   +  * ✔ Safe in HFrEF (amlodipine)   
-✔ Do not use short-acting nifedipine in hypertensive emergencies  +  * ✔ Do not use short-acting nifedipine in hypertensive emergencies  
  
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cardio/ccb/dhp.1770938590.txt.gz · Last modified: by andrew2393cns