Question

An 80-year-old man with a history of hypertension on ramipril presents with persistent high blood pressure despite adequate dosing. Which of the following is the most appropriate next step in management, according to NICE guidelines?

Accepted Answer

Add a calcium channel blocker (e.g., amlodipine)

Answer

Add a thiazide-like diuretic (e.g., indapamide)

Answer

Switch to an angiotensin receptor blocker

Answer

Add a beta-blocker (e.g., atenolol)

Answer

Increase salt intake

Practice question

An 80-year-old man with a history of hypertension on ramipril presents with persistent high blood pressure despite adequate dosing. Which of the following is the most appropriate next step in management, according to NICE guidelines?