A 52-year-old man of black African family origin has newly confirmed hypertension. His daytime ABPM average is 158/96 mmHg, eGFR is 82 mL/min/1.73

Question

A 52-year-old man of black African family origin has newly confirmed hypertension. His daytime ABPM average is 158/96 mmHg, eGFR is 82 mL/min/1.73 m2, potassium is 4.3 mmol/L, and he takes no regular medicines. What is the most appropriate action?

Accepted Answer

Start amlodipine and arrange follow-up blood pressure review

Answer

Start ramipril and check U&Es in 7 days

Answer

Start bisoprolol and review pulse in 1 month

Answer

Start doxazosin and arrange postural BP checks

Answer

Advise lifestyle measures alone for 3 months

Hypertension first-line treatment — GPhC CRA MCQ

A 52-year-old man of black African family origin has newly confirmed hypertension. His daytime ABPM average is 158/96 mmHg, eGFR is 82 mL/min/1.73 m2, potassium is 4.3 mmol/L, and he takes no regular medicines. What is the most appropriate action?