Question

A 62-year-old man with established coronary artery disease and type 2 diabetes has newly diagnosed hypertension with an average automated office BP of 152/92 mmHg. According to Hypertension Canada, which initial pharmacologic strategy is most appropriate for blood pressure control?

Accepted Answer

Start combination therapy with an ACE inhibitor and thiazide diuretic

Answer

Start monotherapy with a thiazide diuretic and reassess in 6 months

Answer

Start monotherapy with a beta blocker

Answer

Start combination therapy with a long-acting dihydropyridine calcium channel blocker and beta blocker

Answer

Defer pharmacotherapy and repeat BP in 3 months

Practice question

A 62-year-old man with established coronary artery disease and type 2 diabetes has newly diagnosed hypertension with an average automated office BP of 152/92 mmHg. According to Hypertension Canada, which initial pharmacologic strategy is most appropriate for blood pressure control?