Case 8: 54-year-old male with elevated blood
pressure
Case 8: 54-year-old male with elevated blood pressure
.Which of the following changes is least likely to improve HTN?
A. Smoking cessation
B. DASH diet
C. Weight loss
D. Alcohol cessation
E. Increased exercise - ANSWER-*D. Alcohol cessation*
, --> Moderate alcohol consumption actually improves blood pressure by 2-4
mmH.
A 62-year-old woman presents for follow-up of her hypertension and
diabetes. In general, her chronic diseases are well controlled and she has
suffered no target organ damage. Her blood pressure today is 148/88, pulse
is 72 and BMI is 32. She is taking metformin 500 mg twice daily, simvastatin
10 mg daily and hydrochlorothiazide (HCTZ) 12.5 mg daily, and she is
compliant with her daily medications. Her labs today include an A1C of 6.6,
an LDL of 88 and a basic metabolic panel within normal limits. Which of the
following management steps today do you consider the least appropriate?
A. Increase HCTZ to 25 mg daily
B. Make no changes as she is at her treatment goals
C. Intensify her dietary changes
D. Add amlodipine 5 mgs daily
E. Increase her simvastatin dose to 20 mg - ANSWER-*B. Make no changes
as she is at her treatment goals*
This is NOT appropriate because patient has diabetes and recommended BP
(for ALL ages) is <140/90. A, C, and D can all help achieve this goal.
pressure
Case 8: 54-year-old male with elevated blood pressure
.Which of the following changes is least likely to improve HTN?
A. Smoking cessation
B. DASH diet
C. Weight loss
D. Alcohol cessation
E. Increased exercise - ANSWER-*D. Alcohol cessation*
, --> Moderate alcohol consumption actually improves blood pressure by 2-4
mmH.
A 62-year-old woman presents for follow-up of her hypertension and
diabetes. In general, her chronic diseases are well controlled and she has
suffered no target organ damage. Her blood pressure today is 148/88, pulse
is 72 and BMI is 32. She is taking metformin 500 mg twice daily, simvastatin
10 mg daily and hydrochlorothiazide (HCTZ) 12.5 mg daily, and she is
compliant with her daily medications. Her labs today include an A1C of 6.6,
an LDL of 88 and a basic metabolic panel within normal limits. Which of the
following management steps today do you consider the least appropriate?
A. Increase HCTZ to 25 mg daily
B. Make no changes as she is at her treatment goals
C. Intensify her dietary changes
D. Add amlodipine 5 mgs daily
E. Increase her simvastatin dose to 20 mg - ANSWER-*B. Make no changes
as she is at her treatment goals*
This is NOT appropriate because patient has diabetes and recommended BP
(for ALL ages) is <140/90. A, C, and D can all help achieve this goal.
