A 52-year-old patient presents with breathlessness. He has had hypertension for many years but has been non-compliant with his medication. His echocardiogram demonstrates an EF of 70%, with marked concentric hypertrophy.
Which one of the following therapies is not appropriate?
A. RamiprilThe treatment for patients with hypertensive heart disease is adequate blood pressure control. However, not all agents are effective. ACE inhibitors and ARBs are the most effective, with calcium antagonists able to reduce LV mass. Atenolol is associated with a higher mortality because of its inability to prevent ventricular fibrillation.