Question

A 67-year-old man with long-standing type 2 diabetes, hypertension and CKD stage 3a attends for review. His clinic blood pressure on repeated measurements is 158/94 mmHg. He is already on lifestyle measures but no antihypertensive medication. According to NICE guidance, which statement best describes when drug treatment for primary hypertension should be offered to most adults under 80 years?

Accepted Answer

Offer drug treatment if clinic BP is ≥140/90 mmHg and 10-year CVD risk is ≥10% or there is target organ damage

Answer

Offer drug treatment only if clinic BP is persistently ≥140/90 mmHg regardless of risk

Answer

Offer drug treatment only if clinic BP is ≥160/100 mmHg

Answer

Offer drug treatment to all adults with clinic BP >130/80 mmHg

Answer

Offer drug treatment only when ambulatory BP monitoring is unavailable

Practice question