Question

A 68-year-old man with type 2 diabetes, albuminuric chronic kidney disease and prior myocardial infarction has automated office blood pressures around 132/76 mmHg despite 3 months of lifestyle change. According to current Canadian hypertension guidance, which management strategy is most appropriate now?

Accepted Answer

Start antihypertensive pharmacotherapy targeting systolic blood pressure <130 mmHg

Answer

Reassure and recheck blood pressure in 12 months

Answer

Start antihypertensive pharmacotherapy targeting systolic blood pressure <120 mmHg

Answer

Delay pharmacotherapy until systolic blood pressure is >=140 mmHg

Answer

Order renal artery Doppler to look for secondary hypertension before treating

Practice question