Hypertension Blood Pressure Measurement Fact or Fiction – Case 3

To improve clinic efficiency, blood pressure (BP) kiosks have been installed in the clinic waiting room. After check-in, patients are instructed to self-measure their BP at the kiosk and present a printout of the BP result to the clinician.

A 25-year-old man with class 3 obesity and type 2 diabetes mellitus obtains a reading of 152/87 mm Hg in the waiting room. He has never had a BP that high in the past and denies any symptoms.

He is concerned because his father died at 50 years of age of a myocardial infarction. He requests initiation of an antihypertensive medication.

Initiation of an antihypertensive medication is warranted due to the severity of his BP elevation, risk factors, and family history.

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