How do you approach the use of genetic testing in patients older than 30 years with resistant hypertension and hypokalemia, but with a normal aldosterone to renin ratio and no known family history of hypertension?

How do you approach genetic testing in patients over 30 with resistant hypertension and hypokalemia but a normal aldosterone to renin ratio and no family history?

• I pursue genetic testing to evaluate for monogenic hypertension
• I trial empiric therapy such as amiloride before considering genetic testing
• I do not pursue genetic testing and manage empirically
• Other