Community Minded

Refractory hypertension despite seven medications 
A 50-year-old-man has resistant hypertension (systolic blood pressure 200-250) despite being on clonidine, chlorthalidone, furosemide, olmesartan, nifedipine, carvedilol, doxazosin, and minoxidil. The hypertension has persisted in the hospital. What is the role of an aldosterone antagonist? What other non-pharmacologic options are there?  Join the discussion. 

Summary provided by Roger Rodby, MD, FASN.
Previous Community Minded Summaries are available at: https://community.asn-online.org/browse/communityminded