Should vasodilatory therapies be considered first-line in the management of hypertension in patients with severe aortic regurgitation?
Answer from: at Academic Institution
Yes, ACEi or ARB or dihydropyridine Calcium channel blockers would be the preferred anti-hypertension medication classes in patients with HTN and significant aortic regurgitation. There is no role, however, for using these agents in patients with severe AR without HTN.
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I recommend ace. Inhibitors and ARB at first but not CCB and may precipitate syncope.