Question

A 54-year-old man is found to have blood pressures around 155/96 mmHg on repeated clinic measurements. Ambulatory blood pressure monitoring confirms an average of 152/94 mmHg. He has no target organ damage or diabetes. What is the most appropriate management?

Accepted Answer

Start first-line antihypertensive drug therapy

Answer

Reassure and discharge without follow-up

Answer

Start lifestyle advice only, no drugs at this stage

Answer

Start dual antihypertensive therapy immediately

Answer

Start high-dose beta blocker monotherapy as first-line

Practice question

A 54-year-old man is found to have blood pressures around 155/96 mmHg on repeated clinic measurements. Ambulatory blood pressure monitoring confirms an average of 152/94 mmHg. He has no target organ damage or diabetes. What is the most appropriate management?