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MediumCardiologyPrimary hypertensionca-mccqe1ca-ccfpca-rcpsc-im

A 58-year-old man attends his family physician after elevated blood pressure readings at a pharmacy. He is asymptomatic, with BMI 29 kg/m^2, no diabetes, no chronic kidney disease and no cardiovascular disease. Standardised automated office blood pressure on three separate visits averages 148/92 mm Hg. According to current Canadian hypertension guidance, what is the most appropriate next management step?

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