A 60-Year-Old Man Who Was Recently Diagnosed with Hypertension Comes

A 60-year-old man who was recently diagnosed with hypertension comes to the office for follow-up.  He was treated with lisinopril but stopped a week ago due to a dry, nagging cough.  Past medical history is notable for type 2 diabetes mellitus with moderately increased albuminuria but normal creatinine clearance.  His other medications include metformin and rosuvastatin.  The patient does not smoke or drink alcohol.  His blood pressure is 150/92 mm Hg.  BMI is 31 kg/m².  Physical examination, including the heart and lungs, is unremarkable.  Which of the following is the best treatment for this patient's hypertension?

A) Diltiazem
B) Hydralazine
C) Metoprolol
D) Ramipril
E) Valsartan

Correct Answer:

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