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EasyCardiovascularPrimary hypertensionuk-plab-1

A 45-year-old Black Caribbean man is seen in primary care. His clinic blood pressures on three separate occasions are around 165/96 mmHg. Ambulatory blood pressure monitoring confirms an average daytime reading of 162/94 mmHg. He has no end-organ damage and his QRISK3 score is 8%. What is the most appropriate first-line antihypertensive drug?

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