Question

A 58-year-old man with newly diagnosed uncomplicated hypertension requires pharmacologic therapy. His average office BP is 156/94 mm Hg despite lifestyle changes. According to the 2025 Hypertension Canada guideline, which of the following is the preferred initial pharmacologic approach?

Accepted Answer

Start a single-pill combination of an angiotensin receptor blocker and a thiazide-like diuretic

Answer

Start a beta blocker as monotherapy

Answer

Start a thiazide diuretic as monotherapy

Answer

Start a loop diuretic as monotherapy

Answer

Start triple therapy (ACE inhibitor, calcium channel blocker, thiazide) immediately

Practice question

A 58-year-old man with newly diagnosed uncomplicated hypertension requires pharmacologic therapy. His average office BP is 156/94 mm Hg despite lifestyle changes. According to the 2025 Hypertension Canada guideline, which of the following is the preferred initial pharmacologic approach?