Question

A 55-year-old with persistently elevated office BPs of 152/96 mm Hg returns after home BP monitoring confirms averages in the same range. He has no ASCVD, CKD, or diabetes complications. According to current U.S. guidelines, which initial treatment approach is recommended?

Accepted Answer

Initiate two first-line antihypertensive agents of different classes

Answer

Lifestyle intervention only and recheck in 3 months

Answer

Start single low-dose thiazide-type diuretic and reassess in 1 month

Answer

Delay therapy until ambulatory BP monitoring is repeated in 6 months

Answer

Start clonidine transdermal patch because it lowers BP rapidly

Practice question

A 55-year-old with persistently elevated office BPs of 152/96 mm Hg returns after home BP monitoring confirms averages in the same range. He has no ASCVD, CKD, or diabetes complications. According to current U.S. guidelines, which initial treatment approach is recommended?