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?
1
3 Answers
Mednet Member
Cardiology · Endeavor Health
Minoxidil remains a rarely used but potent option.
Mednet Member
Cardiology · NYU Langone - New York
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.