L.M. is a 73 year old white female with a long history of HTN. This is her second visit to your office. She has tried multiple antihypertensive medications, some she had to stop due to side effects. She is tolerating her current regimen. She had a normal cardiac echo and stress test 2 years ago. Her medications include: Amlodipine 10 mg dailly Lisinopril 20mg/HCTZ 25 mg daily Metoprolol 200 mg daily Alprazolam 0.5 mg at bedtime prn sleep PE: BP 178/86 right arm and 180/88 left arm; HR 70 and regular Which of the following would be your next best course of action? Group of answer choices Renal US Add Isosorbide dinitrate 20 mg BID to regimen Repeat cardiac echo and stress test Increase her metoprolol to 300 mg
