internist recommends no avs due invasive/risky as low dose spriro sufficient

[Guest guest]

after 18 months of Ramipril/hctz, I was tested for ARR and came back at 165.

Report said " Renin is suppressed while aldo is within the normal physiological

range. Results compatible with PA or beta blocker administration. " (had never

taken beta blockers) Was put on 25mg of Spiro. BP went down to 120/80 or below

daytime. During night would go to 93/64.. would wake up in the night with 2

fingers numb. Reduced to 12.5 mg per day...still pretty good...may go as high

as 138/78 coming off evening shift at work. Internist says not to bother with

AVS or surgery as AVS risky and surgery no guarantee and low spiro seems to do a

pretty good job. Says will have to take it for life (now 56). Never had 24 hr

urine etc done. K had dropped to 3.0 while on HCTZ. PA is being assumed since

Spiro is working. Should I leave well enough alone? How carcinogenic is Spiro

for life? What are the odds of a malignant cause of PA?