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Multiple Choice

Which medication in the hypertension list is an ACE inhibitor?

ACE inhibitors work by blocking the enzyme that converts angiotensin I to angiotensin II, which reduces vasoconstriction and lowers aldosterone-driven sodium and water retention. Lisinopril is an ACE inhibitor, so it lowers blood pressure through this mechanism. The other drugs shown belong to different antihypertensive classes: losartan is an ARB that blocks the angiotensin II receptor rather than its production; amlodipine is a calcium channel blocker that relaxes vessels by inhibiting calcium entry; metoprolol is a beta-blocker that reduces heart rate and contractility. ACE inhibitors can cause a dry cough and, less commonly, hyperkalemia or angioedema; they’re used with caution in pregnancy and in patients with bilateral renal artery stenosis.

ACE inhibitors work by blocking the enzyme that converts angiotensin I to angiotensin II, which reduces vasoconstriction and lowers aldosterone-driven sodium and water retention. Lisinopril is an ACE inhibitor, so it lowers blood pressure through this mechanism. The other drugs shown belong to different antihypertensive classes: losartan is an ARB that blocks the angiotensin II receptor rather than its production; amlodipine is a calcium channel blocker that relaxes vessels by inhibiting calcium entry; metoprolol is a beta-blocker that reduces heart rate and contractility. ACE inhibitors can cause a dry cough and, less commonly, hyperkalemia or angioedema; they’re used with caution in pregnancy and in patients with bilateral renal artery stenosis.