Question

A 58-year-old man with no known cardiovascular disease has repeated office blood pressures around 150/92 mmHg. He has no end-organ damage and is not on antihypertensives. According to Hypertension Canada, what is the most appropriate next step to confirm the diagnosis of hypertension?

Accepted Answer

Arrange ambulatory blood pressure monitoring or home blood pressure monitoring

Answer

Start antihypertensive medication based on current readings

Answer

Repeat office blood pressures annually only

Answer

Order a renal ultrasound and renin levels before confirming hypertension

Answer

Order an exercise treadmill test to assess blood pressure response

Practice question

A 58-year-old man with no known cardiovascular disease has repeated office blood pressures around 150/92 mmHg. He has no end-organ damage and is not on antihypertensives. According to Hypertension Canada, what is the most appropriate next step to confirm the diagnosis of hypertension?