Cert Cardiology(SA) Phys

CMSA Sub-specialty Certificate in Cardiology Cert Cardiology(SA) Phys — South Africa

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Practice session

A 54-year-old male has persistent blood pressure of 158/96 mmHg despite full adherence to optimal doses of three antihypertensive agents: Ramipril, Amlodipine, and Hydrochlorothiazide. Kidney function is normal (eGFR 78 mL/min, K+ 4.1 mmol/L). Secondary hypertension has been excluded. What is the recommended fourth-line agent for Resistant Hypertension (PATHWAY-2 trial)?

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