Question

A 69-year-old man on no prior therapy presents with BP 162/96 mm Hg (average of standardized measurements). Diabetes is absent; ASCVD risk high. According to contemporary guidelines, initial pharmacotherapy?

Accepted Answer

Start two first-line agents (e.g., ACE inhibitor + thiazide-type diuretic)

Answer

Single-agent ACE inhibitor only

Answer

Start beta-blocker monotherapy

Answer

No meds; lifestyle only

Answer

Alpha-blocker monotherapy

Practice question

A 69-year-old man on no prior therapy presents with BP 162/96 mm Hg (average of standardized measurements). Diabetes is absent; ASCVD risk high. According to contemporary guidelines, initial pharmacotherapy?