Question

A 52-year-old man is seen in primary care with persistently raised blood pressure. Clinic readings over three separate visits have averaged 152/96 mmHg. He is otherwise well. According to NICE guidance, what is the next most appropriate step to confirm the diagnosis of hypertension?

Accepted Answer

Arrange 24-hour ambulatory blood pressure monitoring

Answer

Start an ACE inhibitor immediately

Answer

Arrange an echocardiogram

Answer

Request plasma renin and aldosterone levels

Answer

Ask the patient to measure BP at home once per month

Practice question

A 52-year-old man is seen in primary care with persistently raised blood pressure. Clinic readings over three separate visits have averaged 152/96 mmHg. He is otherwise well. According to NICE guidance, what is the next most appropriate step to confirm the diagnosis of hypertension?