A 79-year-old woman is reviewed. She has taken bendroflumethiazide 2.5mg od for the past 10 years for hypertension. Her current blood pressure is 150/94 mmHg. Clinical examination is otherwise unremarkable. An echocardiogram from two months ago is reported as follows:
Ejection fraction 48%, moderate left ventricular hypertrophy. Minimal MR noted
What is the most appropriate next step in managemen t?
A.A Increase bendroflumethiazide to 5mg od
B.A Stop bendroflumethiazide + start frusemide 40mg od
C.A Add ramipril 1.25mg od ***
D.A Stop bendroflumethiazide + start ramipril 1.25mg od
E.A Add amlodipine 5mg od.
Ejection fraction 48%, moderate left ventricular hypertrophy. Minimal MR noted
What is the most appropriate next step in managemen t?
A.A Increase bendroflumethiazide to 5mg od
B.A Stop bendroflumethiazide + start frusemide 40mg od
C.A Add ramipril 1.25mg od ***
D.A Stop bendroflumethiazide + start ramipril 1.25mg od
E.A Add amlodipine 5mg od.
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cardiology