How to manage patients blood pressure


Problem: A 54-year-old African American women has had an average blood pressure of 138/79 mm Hg and heart rate of 75 beats/minute over the past two visits to your clinic. No significant past medical history; (positive) for smoking and occasional drinking. Her total cholesterol is over 200's mg/dL and HDL is low. Which one of the following is best to recommend managing this patient's blood pressure?

 a. Lifestyle modifications only.

b. Lifestyle modifications plus chlorthalidone 25 mg daily.

c. Lifestyle modifications plus hydrochlorothiazide 12.5 mg and lisinopril 10 mg daily.

d. Lifestyle modifications plus metoprolol 25 mg twice daily.

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