Question

A 58-year-old woman has clinic BP readings averaging 152/94 mmHg. Home BP monitoring confirms average daytime 146/92 mmHg. What is the most appropriate initial management?

Accepted Answer

Start a thiazide-like diuretic first line in all patients

Answer

Start a beta-blocker regardless of age

Answer

Offer lifestyle advice only and review in 12 months

Answer

Start an ACE inhibitor (if under 55 and non-Black African/Caribbean)

Answer

Start an alpha-blocker

Practice question

A 58-year-old woman has clinic BP readings averaging 152/94 mmHg. Home BP monitoring confirms average daytime 146/92 mmHg. What is the most appropriate initial management?