Question

A 54-year-old man attends his GP for blood pressure review. Over three separate visits, his clinic blood pressures are 158/96, 162/94, and 160/92 mmHg. Ambulatory blood pressure monitoring confirms an average daytime blood pressure of 154/94 mmHg. He has no target organ damage, diabetes or cardiovascular disease. He is White and non-smoker. What is the most appropriate management?

Accepted Answer

Start an ACE inhibitor such as Ramipril as first-line therapy

Answer

Reassure and review annually with no treatment

Answer

Start a thiazide-type diuretic such as Indapamide as first-line therapy

Answer

Start a beta-blocker such as Atenolol as first-line therapy

Answer

Refer urgently to secondary care hypertension clinic

Practice question