Question

A 64-year-old with uncontrolled hypertension (158/96) and diabetes is started on ACE inhibitor and thiazide. After 2 weeks, BP is 132/80. What is the next best step?

Accepted Answer

Continue current therapy and reassess; goal <130/80

Answer

Add beta blocker immediately

Answer

Add spironolactone for all

Answer

Stop ACE inhibitor once BP <140/90

Answer

Target SBP <120 for all using multiple agents

Practice question

A 64-year-old with uncontrolled hypertension (158/96) and diabetes is started on ACE inhibitor and thiazide. After 2 weeks, BP is 132/80. What is the next best step?