Hello dear, Thank you for your contact to health care magic. I read and understand your concern. I am Dr Arun Tank answering your concern. Alternative to hypertensive therapy is the diuretics and dietary control of sodium chloride or salt in the diet. As you described the patent is having high value of creatinine I advice you to take diuretic which can clear the fluid from the body. Salt restriction in the diet can also be useful. Even small restriction in diet can reduce much blood pressure. There is also need for him to start exercise. You advised him to start with low exercise and than you can start the gradual high exercise. Please avoid extreme exercise as the patient is having high ischemia. I will be happy to answer your further concern on bit.ly/DrArun. Thank you, Dr Arun Tank Infectious diseases specialist, HCM.