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ModerateCardiovascularPrimary hypertensionuk-plab-1

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?

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