Sunday, July 5, 2015

40-year-old male has recently been diagnosed with hypertension

A 40-year-old male has recently been diagnosed with hypertension due to pressure readings of 163/102 and 165/100 mm Hg. He also has diabetes that is well controlled with oral hypoglycemic medications.

BP monitoring 
Which is the best initial treatment regimen for treatment of hypertension in this patient?A. Felodipine.
B. Furosemide.
C. Lisinopril.
D. Lisinopril and hydrochlorothiazide.E. Metoprolol


Correct answer = D. Because the systolic blood pressure is more than 20 mm Hg above goal (10 mm Hg above goal diastolic), treatment with two different medications is preferred. Because the patient is diabetic, he also has a compelling indication for an ACE inhibitor or ARB.


--DrSudeepKC

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