Question

A 62-year-old man with chronic kidney disease stage 3 and diabetes has urine albumin:creatinine ratio of 45 mg/mmol and blood pressure of 146/90 mmHg. What is the most appropriate first-line antihypertensive agent?

Accepted Answer

ACE inhibitor such as Ramipril

Answer

Thiazide-like diuretic alone

Answer

Calcium-channel blocker alone

Answer

Beta-blocker such as Atenolol

Answer

Alpha-blocker such as Doxazosin

Practice question

A 62-year-old man with chronic kidney disease stage 3 and diabetes has urine albumin:creatinine ratio of 45 mg/mmol and blood pressure of 146/90 mmHg. What is the most appropriate first-line antihypertensive agent?