A 54-year-old man is found to have blood pressure readings of 158/96 mmHg on three separate clinic visits. Ambulatory blood pressure monitoring confir...

Question

A 54-year-old man is found to have blood pressure readings of 158/96 mmHg on three separate clinic visits. Ambulatory blood pressure monitoring confirms an average daytime reading of 152/94 mmHg. He has no target organ damage, cardiovascular disease or diabetes. What is the most appropriate initial pharmacological treatment according to NICE?

Accepted Answer

Start an ACE inhibitor such as Ramipril

Answer

Start a thiazide-like diuretic such as Indapamide

Answer

Start a beta-blocker such as Atenolol

Answer

Start a calcium-channel blocker such as Amlodipine

Answer

Start an alpha-blocker such as Doxazosin

uk-plab-1 MCQ (SBA): Primary hypertension