Question

A 64-year-old hypertensive patient has persistent BP 158/92 mmHg in clinic. ABPM confirms stage 2 hypertension. He is Black African ethnicity, aged <55, no diabetes, normal renal function. First-line agent?

Accepted Answer

Calcium-channel blocker (amlodipine)

Answer

ACE inhibitor (ramipril)

Answer

Angiotensin receptor blocker (losartan)

Answer

Thiazide-like diuretic (indapamide)

Answer

Beta-blocker (bisoprolol)

Practice question

A 64-year-old hypertensive patient has persistent BP 158/92 mmHg in clinic. ABPM confirms stage 2 hypertension. He is Black African ethnicity, aged <55, no diabetes, normal renal function. First-line agent?