Patients with unstable angina combined with high blood pressure need antihypertensive treatment, the drugs can be used for unstable angina with the effect of lowering blood pressure: calcium channel blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor antagonists, beta-blockers and other drugs. At the same time, actively remove the causes and triggers that lead to hypertension.
Calcium channel blockers are the drugs of choice, especially for variant angina pectoris, which can effectively relieve angina symptoms, maintain myocardial blood supply and lower blood pressure.
Angiotensin-tension-converting enzyme inhibitors and angiotensin receptor antagonists work by inhibiting the RAS pathway. Side effects include hypotension, hyperkalemia, transient deterioration of renal function, etc. They are contraindicated in pregnant women.
Beta-blockers reduce myocardial oxygen consumption and should be contraindicated in patients with asthma, severe bradycardia, and severe acute heart failure.
If hypertension occurs in unstable angina pectoris, it should be timely to the hospital, and follow the doctor’s instructions for treatment.