Long-standing Hypertension Has Taken in Medicine / Internal Medicine — 66yo Man | Cardiology | SMLE Q#12274
SMLE Question #12274
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 66-year-old man with long-standing hypertension has taken losartan and amlodipine at maximal doses for 6 months with confirmed adherence. Home and clinic blood pressure readings remain above target. Kidney function and serum potassium are normal, and he has no other comorbidities or contraindications. What is the most appropriate next step in management?
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