Question

A 62-year-old man with stage 1 hypertension (office BP 148/92 mmHg confirmed on three visits) and no diabetes, CKD or cardiovascular disease has made lifestyle changes for 3 months with minimal effect. According to the 2025 Hypertension Canada guideline, what is the most appropriate management now?

Accepted Answer

Initiate a thiazide-type diuretic or ACE inhibitor in addition to lifestyle measures

Answer

Continue lifestyle modification alone for another 12 months

Answer

Initiate triple antihypertensive therapy immediately

Answer

Defer treatment until systolic BP ≥160 mmHg or diastolic ≥100 mmHg

Answer

Start low-dose aspirin for primary prevention instead of antihypertensives

Practice question

A 62-year-old man with stage 1 hypertension (office BP 148/92 mmHg confirmed on three visits) and no diabetes, CKD or cardiovascular disease has made lifestyle changes for 3 months with minimal effect. According to the 2025 Hypertension Canada guideline, what is the most appropriate management now?