A 55-year-old man attends his GP for a routine check. He is a non-smoker with no history of cardiovascular disease or diabetes. His blood pressure is ...

Question

A 55-year-old man attends his GP for a routine check. He is a non-smoker with no history of cardiovascular disease or diabetes. His blood pressure is 152/94 mmHg on three separate occasions over 3 months. His fasting lipids are mildly elevated and his calculated 5-year cardiovascular disease (CVD) risk using the Aus CVD Risk Calculator is 12%. What is the most appropriate next step in management?

Accepted Answer

Commence an ACE inhibitor and a statin in addition to lifestyle measures

Answer

Reassure and review in 12 months with no change in management

Answer

Commence lifestyle measures only and review in 6 months

Answer

Start low-dose aspirin alone for primary prevention

Answer

Refer immediately to cardiology for further assessment

au-amc MCQ (SBA): Hypertension and absolute cardiovascular risk