Your patient, Mr. Smith, is a 56-year-old moderately overweight African American hospital administrator with HTN. He has a FHx of DM but has had consistently negative screening labs for DM. He has been exercising regularly, is a nonsmoker, and has lost 10 lb over the past 6 months. Until recently, he has maintained a BP

Question

Your patient, Mr. Smith, is a 56-year-old moderately overweight African American hospital administrator with HTN. He has a FHx of DM but has had consistently negative screening labs for DM. He has been exercising regularly, is a nonsmoker, and has lost 10 lb over the past 6 months. Until recently, he has maintained a BP < 140/90 on HCTZ 25 mg daily.
The past 3 months his BP has been creeping upward and at his current visit is 160/94. In addition to checking labs and discussing his diet and stress, you decide to alter his medication regimen by:

Quizplus · Accepted Answer

Adding an ACE inhibitor or a calcium channel blocker are both appropriate choices to better control his hypertension, especially given his background and current medication.

Your Patient, Mr