Perspectives of Hypertension in CMS focuses on the role hypertension plays in the metabolic syndrome. Keith C. Ferdinand, MD, Section Editor, welcomes submissions from clinicians and researchers of clinical commentaries, case studies, and medical images specifically related to hypertension and diabetes. For information on submissions for the column, see Information for Authors at

Elevated blood pressure and the cardiometabolic syndrome are often difficult clinical challenges specifically related to fusing appropriate lifestyle modifications and antihypertensive agents. This case illustrates some of the factors clinicians have utilized in approaching patients with this common but challenging clinical situation.