Question

A 64-year-old man with no known cardiovascular disease has repeated automated office blood pressures around 168/102 mm Hg despite 3 months of lifestyle optimisation. According to the 2025 Hypertension Canada guideline, which initial pharmacologic approach is most appropriate?

Accepted Answer

Start two first-line drugs in a single-pill combination at standard doses

Answer

Delay pharmacotherapy and continue lifestyle measures alone for a further 6 months

Answer

Start a single low-dose beta-blocker as monotherapy

Answer

Start a single low-dose thiazide-like diuretic as monotherapy

Answer

Refer immediately for renal artery angioplasty without starting medication

Practice question

A 64-year-old man with no known cardiovascular disease has repeated automated office blood pressures around 168/102 mm Hg despite 3 months of lifestyle optimisation. According to the 2025 Hypertension Canada guideline, which initial pharmacologic approach is most appropriate?