Question

A 63-year-old man with long-standing hypertension has home BPs averaging 138/86 mm Hg despite DASH diet and exercise. He has a 10-year ASCVD risk of 18% and no CKD or diabetes. According to the current US hypertension guideline, what is the best next step?

Accepted Answer

Initiate thiazide-type diuretic or ACEi/ARB and target <130/80 mm Hg

Answer

Continue lifestyle therapy only

Answer

Initiate beta-blocker monotherapy and target <140/90 mm Hg

Answer

Initiate two agents immediately and target <120/70 mm Hg

Answer

Defer therapy until clinic BPs exceed 150/90 mm Hg

Practice question

A 63-year-old man with long-standing hypertension has home BPs averaging 138/86 mm Hg despite DASH diet and exercise. He has a 10-year ASCVD risk of 18% and no CKD or diabetes. According to the current US hypertension guideline, what is the best next step?