Question

A 52-year-old with untreated hypertension has repeated office BPs averaging 158/96 mm Hg. He has no compelling indications and normal labs. What initial pharmacologic strategy is recommended?

Accepted Answer

Initiate two first-line agents of different classes

Answer

Lifestyle modification only and recheck in 6 months

Answer

Start one antihypertensive at low dose and reassess in 3 months

Answer

Start beta-blocker monotherapy

Answer

Delay treatment until ambulatory BP is obtained

Practice question

A 52-year-old with untreated hypertension has repeated office BPs averaging 158/96 mm Hg. He has no compelling indications and normal labs. What initial pharmacologic strategy is recommended?