Question

A 52-year-old man with newly diagnosed uncomplicated primary hypertension has persistent office readings around 154/96 mm Hg despite three months of lifestyle modification. According to Hypertension Canada, which initial pharmacologic strategy is most appropriate?

Accepted Answer

Start a thiazide or thiazide-like diuretic as monotherapy

Answer

Start a beta-blocker as first-line monotherapy

Answer

Start an alpha-blocker as first-line monotherapy

Answer

Start short-acting nifedipine as needed for high readings

Answer

Withhold medication and continue lifestyle measures alone for 12 months

Practice question

A 52-year-old man with newly diagnosed uncomplicated primary hypertension has persistent office readings around 154/96 mm Hg despite three months of lifestyle modification. According to Hypertension Canada, which initial pharmacologic strategy is most appropriate?