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If it's primary hypertension, in addition to lowering blood pressure, it's also essential to prevent complications triggered by high blood pressure. If it's the latter, secondary hypertension, the cause of the hypertension must be found before the pressure can naturally be reduced. Therefore, it's not just a matter of carelessly prescribing antihypertensives to solve the problem.
The patient claims not to have a history of hypertension. Has it not been checked, or is it really absent?
The patient's blood pressure isn't extremely high, although it's quite a bit over the normal value; in a clinical setting, truly scary cases of hypertension can soar above 200. The patient doesn't have a particularly high diastolic pressure—an important indicator—which hasn't exceeded the normal range.
We need to first rule out potential complications caused by hypertension, as this is the most conspicuous abnormal indicator on the patient right now.
