History of hypertension, transient ischemic attack (TIA) and gout.
A 79-year-old African American woman with a history of hypertension, transient ischemic attack (TIA) and gout. Her medications include febuxostat 80 mg/day, felodlpine 10 mg/day, benazepril 40 mg/day, and enteric coated aspirin 81 mg/day. Her vital signs include 813 145/85 mmHg and HR 82 beats/minute.
What Is the best approach to improve her BP control, If anything? Please provide your answer supporting it with evidence based medicine.
For extra kudos . since we have not discussed yet. Is there anything else that should be addressed in the patient?