Question

A 68-year-old man with long-standing hypertension and diabetes has an eGFR of 45 mL/min/1.73 m² and urinary albumin-creatinine ratio 45 mg/mmol. Blood pressure is 148/86 mmHg. What is the most appropriate antihypertensive choice to slow progression of chronic kidney disease?

Accepted Answer

ACE inhibitor or angiotensin receptor blocker

Answer

Thiazide diuretic alone

Answer

Beta blocker alone

Answer

Calcium-channel blocker alone

Answer

No antihypertensive therapy is needed

Practice question

A 68-year-old man with long-standing hypertension and diabetes has an eGFR of 45 mL/min/1.73 m² and urinary albumin-creatinine ratio 45 mg/mmol. Blood pressure is 148/86 mmHg. What is the most appropriate antihypertensive choice to slow progression of chronic kidney disease?