Question 102 · LEK · Treatment

A 82-year-old woman has been cured with amlodipine 5 mg daily and ramipril 5 mg per day. She feels well and she has no comorbidities. If the blood pressure in repeated measurements are above 160/85 mmHg, the physician should:

  1. A. discontinue ramipril.
  2. B. not change treatment.
  3. C. consider this as resistant hypertension and include a diuretic.
  4. D. increase the dose of amlodipine and ramipril.
  5. E. refer the patient to renal artery denervation.
Hint

Count the drugs and check their doses before calling the hypertension resistant; is a systolic pressure above 160 mmHg acceptable at 82?

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