Question

A 68-year-old man with type 2 diabetes and hypertension has persistent albuminuria (urine albumin-to-creatinine ratio 40 mg/mmol) and an eGFR of 52 mL/min/1.73 m². His blood pressure averages 146/88 mmHg on amlodipine alone. What is the most appropriate antihypertensive strategy to reduce his renal and cardiovascular risk?

Accepted Answer

Add an ACE inhibitor such as perindopril

Answer

Switch amlodipine to a beta blocker alone

Answer

Cease antihypertensive therapy and observe

Answer

Add a non-dihydropyridine calcium channel blocker

Answer

Use dual ACE inhibitor and angiotensin receptor blocker therapy

Practice question