Question

A 52-year-old man with recently diagnosed type 2 diabetes attends your family practice. His automated office blood pressure (AOBP), measured correctly on three separate visits over 2 months, averages 132/82, 135/84, and 130/80 mm Hg. He has no target organ damage. According to current Canadian hypertension guidance, what is the most appropriate management?

Accepted Answer

Diagnose hypertension and initiate an ACE inhibitor in addition to lifestyle measures

Answer

Reassure him that this is "high-normal" blood pressure and review in 1 year without intervention

Answer

Arrange ambulatory blood pressure monitoring because his office readings are below the threshold for hypertension

Answer

Diagnose hypertension but recommend lifestyle measures only, deferring medication until his systolic pressure is >=140 mm Hg

Answer

Delay diagnosis until a home blood pressure series shows an average >=135/85 mm Hg

Practice question