Question

A 58-year-old man with type 2 diabetes and hypertension attends his GP for review. His clinic blood pressure on two separate occasions is 162/96 mmHg. Ambulatory readings confirm an average daytime blood pressure of 155/95 mmHg. He is not currently on antihypertensive medication. What is the most appropriate next step in management?

Accepted Answer

Start an ACE inhibitor as first-line antihypertensive

Answer

Offer lifestyle advice only and review in 6 months

Answer

Start a thiazide-like diuretic as monotherapy

Answer

Start a beta-blocker as first-line antihypertensive

Answer

Start combination ACE inhibitor plus calcium-channel blocker immediately

Practice question