Question

A 60-year-old man of Black African origin is diagnosed with stage 2 hypertension. He has no diabetes or CKD. What is the most appropriate first-line antihypertensive therapy?

Accepted Answer

Calcium-channel blocker (e.g. Amlodipine)

Answer

ACE inhibitor (e.g. Ramipril)

Answer

Thiazide-like diuretic alone

Answer

Beta-blocker (e.g. Atenolol)

Answer

No treatment is needed until end-organ damage develops

Practice question

A 60-year-old man of Black African origin is diagnosed with stage 2 hypertension. He has no diabetes or CKD. What is the most appropriate first-line antihypertensive therapy?