Question

A 55-year-old man attends your family practice for follow-up of elevated blood pressure. His automated office readings over three separate visits are 152/94, 148/90 and 150/92 mm Hg. He has no diabetes, chronic kidney disease or clinical cardiovascular disease. According to current Hypertension Canada guidance, what is the most appropriate next management step?

Accepted Answer

Start pharmacologic treatment with a two-drug single-pill combination plus lifestyle changes

Answer

Start lifestyle modification only and recheck blood pressure in one year

Answer

Start pharmacologic treatment with a single antihypertensive agent plus lifestyle changes

Answer

Order 24-hour ambulatory blood pressure monitoring and delay treatment until results are available

Answer

Diagnose hypertensive emergency and send him to the emergency department

Practice question