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EasyCardiovascularPrimary hypertensionuk-plab-1

A 58-year-old man with long-standing hypertension is reviewed in clinic. Recent home blood pressure readings taken correctly are consistently around 158/96 mmHg. In clinic today his blood pressure is 160/94 mmHg (repeated and averaged). He has no target organ damage and no cardiovascular disease. What is the most appropriate next step in management?

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