A 60 year old man with longstanding hypertension and dyslipidaemia has an office blood pressure of 152/92 mmHg despite adherence to lifestyle changes ...

Question

A 60 year old man with longstanding hypertension and dyslipidaemia has an office blood pressure of 152/92 mmHg despite adherence to lifestyle changes and monotherapy with an ACE inhibitor at maximum tolerated dose. His 5 year absolute CVD risk is 18%. Which of the following is the most appropriate next pharmacological step?

Accepted Answer

Add a thiazide or thiazide like diuretic

Answer

Stop ACE inhibitor and start beta blocker monotherapy

Answer

Switch to ARB monotherapy at equivalent dose

Answer

Add clonidine

Answer

No change, as blood pressure is acceptable for high risk patients

au-racgp MCQ (SBA): Hypertension target BP and ACEi