Question

A 54-year-old man attends his GP for a blood pressure check. Repeated clinic readings are around 158/96 mmHg. Ambulatory blood pressure monitoring confirms an average daytime blood pressure of 148/94 mmHg. He has no comorbidities, no target organ damage and a QRISK3 of 8%. What is the most appropriate next step?

Accepted Answer

Offer lifestyle advice and discuss starting antihypertensive drug treatment because he is under 80 with stage 1 hypertension and low calculated risk but has persistent elevation

Answer

Reassure him that no further action is needed

Answer

Start two antihypertensive drugs immediately

Answer

Refer urgently to a hypertension specialist

Answer

Start low-dose aspirin for primary prevention

Practice question