A 55-year-old man attends his GP for review of elevated blood pressure. Across three separate visits over 3 months, his average seated blood pressure ...

Question

A 55-year-old man attends his GP for review of elevated blood pressure. Across three separate visits over 3 months, his average seated blood pressure is 152/92 mmHg. He is a non-smoker with no history of cardiovascular disease or diabetes, and his estimated 5-year absolute cardiovascular risk is 12%. What is the most appropriate management regarding blood pressure?

Accepted Answer

Commence an ACE inhibitor such as perindopril in addition to lifestyle modification

Answer

Recommend lifestyle measures only and review in 12 months

Answer

Order 24-hour ambulatory blood pressure monitoring and withhold treatment until results are available

Answer

Start dual therapy with an ACE inhibitor and a beta blocker

Answer

Reassure him that no further follow-up is required as his risk is low

au-amc MCQ (SBA): Primary hypertension