ModerateCardiovascularHypertension – stepwise drug therapyuk-plab-1
A 65-year-old man with long-standing hypertension and type 2 diabetes presents to clinic. His clinic blood pressures over 3 visits are around 158/92 mmHg. Ambulatory monitoring confirms a daytime average of 152/94 mmHg. He is already on Ramipril 10 mg once daily. His renal function is normal and he is of Afro-Caribbean family background. What is the most appropriate next step in management?