A 45-year-old office worker with no past medical history is found to have blood pressure readings around 140/88 mmHg on three separate visits over 4 m...

Question

A 45-year-old office worker with no past medical history is found to have blood pressure readings around 140/88 mmHg on three separate visits over 4 months. He is a non-smoker with normal lipid profile and BMI 23 kg/m2. His calculated 5-year CVD risk is 3%. According to current Australian guidance, what is the most appropriate management?

Accepted Answer

Provide lifestyle advice and repeat cardiovascular risk assessment in 5 years

Answer

Commence an ACE inhibitor immediately

Answer

Commence a beta blocker immediately

Answer

Provide lifestyle advice and consider drug therapy because his blood pressure is above 130/80 mmHg

Answer

Refer for urgent specialist assessment and 24-hour blood pressure monitoring

au-racgp MCQ (SBA): Mild hypertension at low absolute cardiovascular risk