{"id":9615,"date":"2026-02-28T21:47:56","date_gmt":"2026-02-28T18:47:56","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=9615"},"modified":"2026-02-28T21:47:56","modified_gmt":"2026-02-28T18:47:56","slug":"clinical-case-scenario-obesity-antihypertensive-choice","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/clinical-case-scenario-obesity-antihypertensive-choice\/","title":{"rendered":"Clinical Case Scenario \u2013 Obesity &#038; Antihypertensive Choice"},"content":{"rendered":"<p>Clinical Case Scenario \u2013 Obesity &amp; Antihypertensive Choice<\/p>\n<p>A 54-year-old man with BMI 34 kg\/m\u00b2 presents with newly diagnosed hypertension (150\/94 mm Hg).<br \/>\nHe has prediabetes and is motivated to lose weight. He expresses concern about medications that might make weight loss more difficult.<\/p>\n<p>You are selecting first-line pharmacologic therapy.<\/p>\n<p>Which antihypertensive drug class includes agents known to promote weight gain?<\/p>\n<p>A) ACE inhibitors<br \/>\nB) ARBs<br \/>\nC) Beta blockers<br \/>\nD) Calcium channel blockers<\/p>\n<div>Correct Answer: C) Beta blockers<\/div>\n<div><span> \u2022 Older beta-blockers (e.g., atenolol, metoprolol) may be associated with modest weight gain and less favorable metabolic effects.<\/span><\/div>\n<div><span> \u2022 Vasodilating beta-blockers (e.g., carvedilol, nebivolol) demonstrate a more favorable metabolic profile and appear relatively weight-neutral.<\/span><\/div>\n<div><span> \u2022 Beta-blockers remain appropriate when there is a compelling indication (e.g., CAD, heart failure, arrhythmia).<\/span><\/div>\n<div><\/div>\n<div>References<\/div>\n<div><span> \u2022 ESC\/ESH 2024 Hypertension Guidelines<\/span><\/div>\n<div><\/div>\n<div><a href=\"https:\/\/www.escardio.org\/Guidelines\/Clinical-Practice-Guidelines\/Elevated-Blood-Pressure-and-Hypertension\">https:\/\/www.escardio.org\/Guidelines\/Clinical-Practice-Guidelines\/Elevated-Blood-Pressure-and-Hypertension<\/a><\/div>\n<div><\/div>\n<div><span> \u2022 Medscape \u2013 Fast Five Quiz: Obesity-Related Hypertension<\/span><\/div>\n<div>Published February 19, 2026. Accessed February 26, 2026.<\/div>\n<div><\/div>\n<div><a href=\"https:\/\/reference.medscape.com\/viewarticle\/fast-five-quiz-obesity-related-hypertension-2025a1000e9q\">https:\/\/reference.medscape.com\/viewarticle\/fast-five-quiz-obesity-related-hypertension-2025a1000e9q<\/a><\/div>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Clinical Case Scenario \u2013 Obesity &amp; Antihypertensive Choice A 54-year-old man with BMI 34 kg\/m\u00b2 presents with newly diagnosed hypertension (150\/94 mm Hg). He has prediabetes and is motivated to lose weight. He expresses concern about medications that might make weight loss more difficult. You are selecting first-line pharmacologic therapy. Which antihypertensive drug class includes [&hellip;]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9615","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9615","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=9615"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9615\/revisions"}],"predecessor-version":[{"id":9616,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9615\/revisions\/9616"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=9615"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=9615"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=9615"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}