A 62-year-old with CKD G3a A2 and hypertension is on maximized ACE inhibitor and SGLT2 inhibitor; BP averages 138/84. Which additional agent is recomm...

Question

A 62-year-old with CKD G3a A2 and hypertension is on maximized ACE inhibitor and SGLT2 inhibitor; BP averages 138/84. Which additional agent is recommended to reduce albuminuria and blood pressure?

Accepted Answer

Add mineralocorticoid receptor antagonist (finerenone)

Answer

Add nondihydropyridine CCB only

Answer

Switch ACE inhibitor to ARB

Answer

Stop SGLT2 inhibitor

Answer

No change; targets met

us-abim MCQ (SBA): CKD in Diabetes-Finerenone

A 62-year-old with CKD G3a A2 and hypertension is on maximized ACE inhibitor and SGLT2 inhibitor; BP averages 138/84. Which additional agent is recommended to reduce albuminuria and blood pressure?