Question

A 52-year-old man is found to have clinic blood pressures around 160/96 mmHg on three separate occasions. Ambulatory blood pressure monitoring confirms an average daytime BP of 152/94 mmHg. He has no target organ damage and a 10-year CVD risk of 12%. What is the most appropriate next step in management?

Accepted Answer

Start lifestyle advice and commence Amlodipine 5 mg once daily.

Answer

Reassure and recheck blood pressure in 5 years with lifestyle advice only.

Answer

Start lifestyle advice and commence a beta blocker as first-line agent.

Answer

Arrange immediate same-day specialist assessment for accelerated hypertension.

Answer

Start dual therapy with ACE inhibitor and thiazide-like diuretic.

Practice question