Anyhow ， we ' ll hae to use different classes in most of our patients ， and then to decide if we start with a ? blocker and then we add a diuretic or start with a diuretic and then add a ? blockers ， i think it ' s not so releant ， so for the clinician ， it is not such an important question 无论如何，对于大多数患者我们都会用到不同类别的药物，所以是应该先用?受体阻滞剂再加用利尿剂还是先用利尿剂再加用?受体阻滞剂这个问题我认为是无关紧要的，对于临床医生而言这并不是一个很重要的问题。
And we also know that we should avoid reducing preload in these patients because reducing preload may cause obstruction of left ventricular outflow tract which is not convenient , so we try to avoid diuretics and nitrates in this kind of patients , but we use calcium antagonists and 我们也知道我们应该避免减低这些患者的前负荷，因为减低前负荷会使本来就很艰难的左心室流出道更加容易阻塞，所以我们都会尽量避免给这类患者使用利尿剂和硝酸酯类药物，但我们经常会用到钙离子拮抗剂和
Among patients with the metabolic syndrome ( 7 , 327 black and 15 , 750 white patients ) , the calcium channel blocker , ace inhibitor and alpha - blocker had higher rates of heart failure compared with the diuretic ; the ace inhibitor and the alpha - blocker also had an increased risk of combined cardiovascular disease 在合并代谢综合征人群（黑种人7327名白种人15750名）中，钙通道阻滞剂、血管紧张素转换酶抑制剂-阻滞剂治疗组较利尿剂治疗组有更高的心衰发病率； -阻滞剂治疗组、血管紧张素转换酶抑制剂治疗组也有并发心血管疾病的危险性增高。
Hormone kind medicaments is to promote human body to metabolization and protein are decomposed and increase to use up and achieve the goal that reduces weight ; and cathartic and diuretic are excrete through increasing , discharge forcibly go human body is normal and humoral , and rather than is redundant and adipose , often cause dehydration ; food reduces weight to be comprised by fiber of unfavorable digestive plant more , there is full feeling after taking 激素类药物是促进人体代谢和蛋白质分解并增加消耗而达到减轻体重的目的；而泻药和利尿剂是通过增加排泄，强行排去人体正常体液，而非多余脂肪，常造成脱水；食品减肥多由不宜消化的植物纤维组成，服用后有饱感。
Anyhow ， we ' ll have to use different classes in most of our patients ， and then to decide if we start with a ? blocker and then we add a diuretic or start with a diuretic and then add a ? blockers ， i think it ' s not so relevant ， so for the clinician ， it is not such an important question 无论如何，对于大多数患者我们都会用到不同类别的药物，所以是应该先用?受体阻滞剂再加用利尿剂还是先用利尿剂再加用?受体阻滞剂这个问题我认为是无关紧要的，对于临床医生而言这并不是一个很重要的问题。
