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ASH/ISH

2013 12 17 ASHISH

15
ASH/ISH

ACEI

ACEI RAS I II
ACEI

ACEI 30% ACEI

ACEI

ACEI ACEI

ACEI

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ACEI
CKD

ACEI
RAS ACEI CCB

ACEI ARB

ACEI
ACEI

ACEI ACEI

ARB

ARB ACEI RAS ARB

II AT1

ARB ACEI
ARB ACEI
ARB ACEI ACEI ARB

ARB

ARB ACEI

ARB ARB CCB

ACEI

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ACEI ARB

ARB
ARB

ARB

12.5mg 25mg /
ACEI ARB

ACEI ARB

CCB L CCB
12
CCB

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CCB ACEI ARB

ACEI

ACEI ARB

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ACEI

ACEI/ARBCCB

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25mg/d
ACEI/ARB

eGFR50 ACEI/ARB
3-6

1/2/3 140/90 mmHg

ACEI+CCB/ARB+/
80%

20%

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140/90 18
80 BP150/90BP140/90

140-159/90-99 160/100

CCB
60

ACEI/ARB

60

CCB
2

CCB
+ACEI/ARB

*
ACIE/ARB CCB ACEI
CCB+ ARB

CCB++ACEI/ARB CCB++
ACEI/ARB

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1
BP140/90
BP140/90 mmHg
mmHg

A.

ARBb ACEI CCB+ACEI ARB+

CCBa

CCB+ACEI ARB+
ARBb ACEI CCBa
<60
CCB
a
ARB ACEI ACEI
b
CCB+ACEI ARB+
ACEI ARB ARB CCB
60

B.

CCB

ARB ACEI

CCB

ARB ACEI

CCB
ACEI
ARB

CCB

ACEI CCB c

CCB

- ARB
CCB
ACEI CCB
CCB
d ACEI ARB CCB

ARB ACEI+++
e
CCB

a CCB

b ARB ACEI ACEI

c eGFR<40mL/min

d - ARB ACEI

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mg mg

- -

120 240-360
1
120 240-360
2.5 5-10
2.5 5-10
2 2.5 2 5-10 2
30 30-90
10 20

RAS




5
12.5 2
5
10
10-40
50-100 2
10-40
10-40

1ACEI 5 10-40
4 4-8
5 10-40
2.5 5-10

1-2 2-8
40 80
4 8-32
400 600-800
150 150-300
2ARB
50 50-100
10 20-40
40 40-80
80 80-320

3 75 150-300

5 10
1 12.5 12.5-25
12.5 12.5-50

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12.5 2.5
0.5 1
2 20 2 40 2
5 10
5 5-10
25 50-100
3
12.5 25-50
100 100
Acebutalol 200 200-400
25 100
5 5-10
3.125 2 6.25-25 2
100 2 100-300 2
-




25
25 2
20
2.5
50-100
50-100 2
40-80
5-10

40 2 40-160 2
1 1-2
- 1 2 1-5 2
1 1-2

10 2 25-100 2

2.5 5-10
0.1 2 0.1-0.2 2
- TTS-1 1 TTS-12 3 1
125 2 250-500

0.1 0.1-0.25

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