What class(es) of antihypertensives should be considered next for refractory hypertension in a patient compliant with high doses of Entresto, chlorthalidone, amlodipine, clonidine, and spironolactone if they previously did not have any improvement on beta blocker or hydralazine and work-up for secondary causes were unremarkable?
At what point should we consider referral for renal denervation therapy?
3 Answers
Mednet Member
Cardiology · Endeavor Health
Answered on
Minoxidil remains a rarely used but potent option.
Join for free or sign in to see the full answer
Mednet Member
Cardiology · NYU Langone - New York
Answered on
I think it is reasonable at this point to refer the patient for renal denervation. Current data support improvement of the patient’s blood pressure control to somewhat of a more acceptable degree.
Join for free or sign in to see the full answer
Mednet Member
Cardiology · Fountain Valley Regional Hospital and Medical Center
Answered on
Lisinopril, denervation...
Join for free or sign in to see the full answer