Question

A 62-year-old man with CKD G3a/A2 and hypertension is not on an ACE inhibitor or ARB. BP 142/86 on amlodipine alone. Best next step to slow CKD progression?

Accepted Answer

Add ACE inhibitor (or ARB) and titrate to maximum tolerated dose

Answer

Add hydrochlorothiazide only

Answer

No change; CKD progression unaffected by RAAS blockade

Answer

Add beta blocker first

Answer

Start mineralocorticoid receptor antagonist as first add-on

Practice question

A 62-year-old man with CKD G3a/A2 and hypertension is not on an ACE inhibitor or ARB. BP 142/86 on amlodipine alone. Best next step to slow CKD progression?