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Mediumspironolactone) are effective add‑on agents. Central α‑agonists or hydralazine are alternatives later. ARNI is for HFrEFACC/AHA Guideline (2017): High Blood Pressure in AdultsCardiology

A 69-year-old with long-standing HTN on ACEi + thiazide has BP 150/92 mm Hg. He has CKD and albuminuria. Which add-on is most effective for resistant HTN per guidelines?

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