Which hypertensive drug would be most appropriate for a patient with a history of stroke?

An ACE inhibitor is particularly well-suited for a patient with a history of stroke due to its proven role in reducing the risk of subsequent cardiovascular events. These medications provide multiple benefits, including effective blood pressure control, renal protection, and favorable effects on vascular health. Studies have shown that ACE inhibitors can lower the incidence of recurrent strokes, especially in patients with hypertension, which is a significant risk factor for both initial and recurrent strokes.

Additionally, ACE inhibitors can help manage comorbid conditions that often accompany a history of stroke, such as heart failure or myocardial infarction, thereby providing a comprehensive approach to patient care. While other classes of antihypertensive medications, such as ARBs, calcium channel blockers, and beta blockers, can also be beneficial in various contexts, ACE inhibitors hold a specific advantage in this patient population regarding stroke prevention and vascular outcomes.