Question

A 48-year-old man with no past medical history is found to have blood pressures of 152/94 mmHg and 150/92 mmHg at two separate GP appointments. He is asymptomatic with normal cardiovascular examination and no evidence of target organ damage. What is the most appropriate next step in management?

Accepted Answer

Arrange 24-hour ambulatory blood pressure monitoring

Answer

Start an ACE inhibitor immediately

Answer

Start a calcium-channel blocker immediately

Answer

Refer urgently to secondary care hypertension clinic

Answer

Reassure and review in 12 months with no further investigations

Practice question

A 48-year-old man with no past medical history is found to have blood pressures of 152/94 mmHg and 150/92 mmHg at two separate GP appointments. He is asymptomatic with normal cardiovascular examination and no evidence of target organ damage. What is the most appropriate next step in management?