Question

A 68-year-old man with chronic kidney disease stage 3 and type 2 diabetes has albuminuria (ACR 15 mg/mmol). His blood pressure is 145/88 mmHg. What is the most appropriate antihypertensive choice?

Accepted Answer

Start an ACE inhibitor such as Ramipril and titrate

Answer

Start a thiazide diuretic as first-line

Answer

Start a beta blocker as first-line

Answer

Start a non-dihydropyridine calcium channel blocker

Answer

Avoid antihypertensives because of kidney disease

Practice question

A 68-year-old man with chronic kidney disease stage 3 and type 2 diabetes has albuminuria (ACR 15 mg/mmol). His blood pressure is 145/88 mmHg. What is the most appropriate antihypertensive choice?