John is an 86-year-old with a MI history of 3 years ago

His blood pressure has been stable at 135 /80 for the pasted 4years

He is taking the following medications amlodipine 5 mg qd,ibersartan 300 mg qd, hydrochlorothiazide 25 mg qd, atenolol l 5 mgqd orally and is compliant.

He comes to the office has the same blood pressure, labs arenormal, and EKG shows old infarction.

DESIGN A TREATMENT PLAN with rationales

What is your plan of action currently?

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