Question

A 60 year old man with type 2 diabetes and obesity presents for preventive care. His haemoglobin A1c is 7.4 percent on metformin alone. He has no established cardiovascular disease. His estimated 10 year ASCVD risk is 9 percent. According to current guidelines, which blood pressure threshold should prompt initiation of pharmacologic therapy to reduce cardiovascular risk in this patient?

Accepted Answer

Any blood pressure above 110 over 70 mm Hg

Answer

Systolic blood pressure greater than or equal to 130 mm Hg or diastolic greater than or equal to 80 mm Hg

Answer

Systolic blood pressure greater than or equal to 140 mm Hg or diastolic greater than or equal to 90 mm Hg

Answer

Systolic blood pressure greater than or equal to 150 mm Hg or diastolic greater than or equal to 95 mm Hg

Answer

Only if systolic blood pressure remains above 160 mm Hg on three visits

Practice question