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MediumCardiologyPrimary hypertensionca-mccqe1ca-ccfpca-rcpsc-im

A 55-year-old man attends his family physician for a routine check. He has no significant medical history and takes no medications. Over three separate visits, his automated office blood pressure readings are 152/94, 148/92 and 150/96 mmHg using a validated device and proper technique. His BMI is 29 kg/m², physical examination is otherwise normal, and baseline laboratory results are unremarkable. According to current Canadian hypertension guidelines, what is the most appropriate next step in management?

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