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A 60-year-old man with HIV presents for follow-up of HIV and hypertension. Three months ago, his blood pressure was 128/88 mm Hg. At that time, he initiated lifestyle changes. One week ago, his blood pressure was 137/85 mm Hg. At the current visit, his blood pressure is 134/86 mm Hg. He has several additional medical problems, including hyperlipidemia and gout; he does not have diabetes mellitus or renal disease. His medications are bictegravir-tenofovir alafenamide-emtricitabine and rosuvastatin. Using the atherosclerotic cardiovascular disease (ASCVD) risk calculator, his 10-year risk for heart disease and stroke is estimated at 12.8%.

Which one of the following is the best option for the management of hypertension in this man?

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Question Last Updated
October 1st, 2023

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