Question

A 54-year-old white British man is found to have blood pressure readings averaging 160/96 mmHg in clinic, confirmed on ambulatory monitoring. He has no diabetes, cardiovascular disease or renal disease. According to NICE guidance, what is the most appropriate first-line antihypertensive treatment?

Accepted Answer

An ACE inhibitor such as Ramipril

Answer

A calcium-channel blocker such as Amlodipine

Answer

A thiazide-like diuretic as monotherapy

Answer

A beta-blocker as first-line monotherapy

Answer

No pharmacological treatment; lifestyle advice only

Practice question

A 54-year-old white British man is found to have blood pressure readings averaging 160/96 mmHg in clinic, confirmed on ambulatory monitoring. He has no diabetes, cardiovascular disease or renal disease. According to NICE guidance, what is the most appropriate first-line antihypertensive treatment?