A 52-year-old asymptomatic man has clinic BP 162/98 mmHg. ABPM confirms average 158/96 mmHg. What is the most appropriate initial management?...

Question

A 52-year-old asymptomatic man has clinic BP 162/98 mmHg. ABPM confirms average 158/96 mmHg. What is the most appropriate initial management?

Accepted Answer

Start ACE inhibitor (if under 55 and not Black African/Caribbean)

Answer

Lifestyle advice and review in 6 months

Answer

Start thiazide-like diuretic alone

Answer

Refer for same-day assessment

Answer

No treatment unless end-organ damage

mrcgp akt MCQ (SBA): Hypertension