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MediumNephrologyChronic kidney disease with albuminuriaau-amcau-racgpau-racp

A 72-year-old man with hypertension and type 2 diabetes has an estimated glomerular filtration rate of 48 mL/min/1.73 m² and persistent albumin:creatinine ratio of 45 mg/mmol. Blood pressure is 150/88 mmHg. Which medication class is preferred as first-line therapy to slow progression of his chronic kidney disease and reduce cardiovascular risk?

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