Question

A 68-year-old man with chronic kidney disease (eGFR 35 mL/min/1.73 m²) and diabetes has persistent blood pressure 145/88 mmHg despite maximally tolerated ACE inhibitor and thiazide. According to Hypertension Canada, which additional therapy is MOST appropriate?

Accepted Answer

Add a long-acting dihydropyridine calcium channel blocker

Answer

Add an alpha blocker

Answer

Add a beta blocker only

Answer

Stop ACE inhibitor and start ARB instead

Answer

Do nothing; BP is acceptable

Practice question

A 68-year-old man with chronic kidney disease (eGFR 35 mL/min/1.73 m²) and diabetes has persistent blood pressure 145/88 mmHg despite maximally tolerated ACE inhibitor and thiazide. According to Hypertension Canada, which additional therapy is MOST appropriate?