Question

A 52-year-old with newly diagnosed stage 2 hypertension has average clinic BPs 154/96 mm Hg on proper technique and home BP confirms. He has no ASCVD, CKD, or diabetes. According to current US guidance, which initial pharmacotherapy strategy is recommended?

Accepted Answer

Begin two antihypertensive agents from different classes, preferably as a single-pill combination

Answer

Begin one agent and uptitrate every 4-6 weeks

Answer

Defer medications for 6 months of lifestyle measures

Answer

Start a beta-blocker as first-line monotherapy

Answer

Start spironolactone as first-line monotherapy

Practice question

A 52-year-old with newly diagnosed stage 2 hypertension has average clinic BPs 154/96 mm Hg on proper technique and home BP confirms. He has no ASCVD, CKD, or diabetes. According to current US guidance, which initial pharmacotherapy strategy is recommended?