A 55-year-old newly diagnosed with stage 2 hypertension (average office BP 150/95 mm Hg, confirmed by home BP) has no ASCVD and normal labs. According...

Question

A 55-year-old newly diagnosed with stage 2 hypertension (average office BP 150/95 mm Hg, confirmed by home BP) has no ASCVD and normal labs. According to current US guidance, what is the initial pharmacologic approach?

Accepted Answer

Start two first-line agents of different classes

Answer

Start any one first-line agent at low dose

Answer

Start a beta-blocker due to heart rate 92/min

Answer

Defer therapy for 6 months to focus on lifestyle

Answer

Initiate spironolactone first-line

us-abfm MCQ (SBA): Hypertension

A 55-year-old newly diagnosed with stage 2 hypertension (average office BP 150/95 mm Hg, confirmed by home BP) has no ASCVD and normal labs. According to current US guidance, what is the initial pharmacologic approach?