Question

A 49-year-old with BP 152/92 mm Hg confirmed on home readings (average), no ASCVD, CKD, or diabetes. According to current guidance, which initial pharmacotherapy approach is recommended?

Accepted Answer

Begin two first-line agents from different classes

Answer

Start single low-dose β‑blocker

Answer

No medication; lifestyle only for 6 months

Answer

Start clonidine nightly

Answer

Initiate ACE inhibitor monotherapy only if ASCVD risk >20%

Practice question

A 49-year-old with BP 152/92 mm Hg confirmed on home readings (average), no ASCVD, CKD, or diabetes. According to current guidance, which initial pharmacotherapy approach is recommended?