Question

A 58-year-old man with hypertension is on triple therapy but remains at 165/100 mmHg. He is adherent, non-smoker, BMI 29 kg/m2, with normal renal function and potassium. Which of the following is the most appropriate next step in evaluating his resistant hypertension?

Accepted Answer

Assess for secondary causes such as renal artery stenosis and obstructive sleep apnoea

Answer

Add another antihypertensive without further assessment

Answer

Stop all medications and rely on lifestyle alone

Answer

Start clonidine patch immediately

Answer

Refer for renal transplantation assessment

Practice question

A 58-year-old man with hypertension is on triple therapy but remains at 165/100 mmHg. He is adherent, non-smoker, BMI 29 kg/m2, with normal renal function and potassium. Which of the following is the most appropriate next step in evaluating his resistant hypertension?