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EasyCardiovascularPrimary hypertensionuk-plab-1

A 54-year-old white British man is found to have clinic blood pressure readings of around 152/94 mmHg on three occasions. Ambulatory monitoring shows an average daytime blood pressure of 148/92 mmHg. He has no target organ damage but his QRISK3 10-year cardiovascular risk is 18 percent. What is the single most appropriate next step?

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