A 58-year-old man attends his GP for a routine check. Over three separate visits his seated blood pressure is 148/92 mmHg. He is a non-smoker with no ...

Question

A 58-year-old man attends his GP for a routine check. Over three separate visits his seated blood pressure is 148/92 mmHg. He is a non-smoker with no diabetes or chronic kidney disease. His calculated 5-year absolute cardiovascular risk is 12%. What is the most appropriate next step in management?

Accepted Answer

Commence an angiotensin-converting enzyme inhibitor and provide lifestyle advice

Answer

Provide lifestyle advice only and review blood pressure in 6 months

Answer

Commence dual antihypertensive therapy with an angiotensin-converting enzyme inhibitor and a thiazide

Answer

Commence a beta blocker as first-line therapy

Answer

Refer urgently to a cardiologist for assessment

au-amc MCQ (SBA): Essential hypertension

A 58-year-old man attends his GP for a routine check. Over three separate visits his seated blood pressure is 148/92 mmHg. He is a non-smoker with no diabetes or chronic kidney disease. His calculated 5-year absolute cardiovascular risk is 12%. What is the most appropriate next step in management?