A 56-year-old man with chronic kidney disease stage 3 (eGFR 45 mL/min/1.73 m²) and albuminuria secondary to diabetic nephropathy has blood pressure pe...

Question

A 56-year-old man with chronic kidney disease stage 3 (eGFR 45 mL/min/1.73 m²) and albuminuria secondary to diabetic nephropathy has blood pressure persistently 150/92 mm Hg despite maximally tolerated ACE inhibitor. According to Hypertension Canada and Diabetes Canada, which additional agent is preferred?

Accepted Answer

Add a thiazide or thiazide-like diuretic

Answer

Add a non-dihydropyridine calcium channel blocker

Answer

Add a direct renin inhibitor to ACE inhibitor

Answer

Stop ACE inhibitor and use beta-blocker alone

Answer

Avoid further antihypertensive therapy

ca-mccqe1 MCQ (SBA): Hypertension in diabetic nephropathy