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Wednesday 13 November 2024

Peer Reviewed

Clinical case review

A man who has poor blood pressure control

Recent articles on:
Hypertension

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Resistant hypertension: an approach to management

Renal artery stenosis and hypertension: when to screen and how to treat

Primary aldosteronism – efficiently making a commonly missed diagnosis

Ambulatory blood pressure monitoring: its place in general practice

Recent articles on:
Antihypertensive medicines

Treating resistant hypertension now and in the future

Refractory hypertension: overcoming hard to control blood pressure

Fixed-dose therapy for the treatment of hypertension: when should this approach be used?

Valsartan and amlodipine combination therapy for the treatment of hypertension

Lercanidipine and enalapril combination therapy for the treatment of hypertension

Abstract

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

Key Points

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?