Clinical case review

A man who has poor blood pressure control



A 60-year-old man has deteriorating blood pressure control. What could be the cause? Should his antihypertensive medication be changed?

Article Extract

Case scenario

A 60-year-old man has been on a standard dose of a beta blocker for years. His last three readings, each three months apart, have been 140/90, 170/110 and 160/100 mmHg. He is otherwise well – no heart failure and no asthma, although his cholesterol level is mildly elevated. Should I increase, add to, or alter his antihypertensive agent?