A 57-year-old with longstanding HTN and diabetes is found to have BP 148/92 despite thiazide and ACEi. Next step for resistant hypertension workup?...

Question

A 57-year-old with longstanding HTN and diabetes is found to have BP 148/92 despite thiazide and ACEi. Next step for resistant hypertension workup?

Accepted Answer

Confirm adherence and out-of-office BP, evaluate secondary causes, then add spironolactone if true resistance

Answer

Add spironolactone without evaluation

Answer

Switch to beta-blocker only

Answer

Stop ACEi due to high BP

Answer

Refer for renal denervation immediately

us-abfm MCQ (SBA): Hypertension-Resistant