Scenario: DW is a 65-year-old, 135 kg male who visited his primary care physician for a...

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Scenario: DW is a 65-year-old, 135 kgmale who visited his primary care physician for a routineexamination. His blood pressure was 158/100 mmHg and his heart ratewas 71 bpm. Stroke volume and cardiac output were normal. Serumrenin levels were in the normal range.   A chest x-rayrevealed left ventricular hypertrophy. Other clinical findings wereunremarkable.

For this problem, pharmacologictherapies include diuretics, ACE inhibitors, beta-adrenergicreceptor antagonists, and vasodilators. Explain the physiologicaleffects on the cardiovascular system for each of these 4 classes ofdrugs and why these could be helpful.

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Patient is hypertensive and left ventricular hypertrophy Categories of drugs used are diuretics ACE inhibitors vasodilators and adrinergic receptor vlockers Diuretics These are standard antihypertensive drug more commonly used are thiazides Mechanism of antihypertensive action is1initially diuresis reduces plasma and ecf volumethus decreases cardicac output2subsequently compensatory mechanism to almost regain Na balance and plasma volume cardiac output is restored but fall imBP is maimtained by a slowly developing    See Answer
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