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Primary Care ManagementQuestion 2/15

A 48-year-old woman with HIV (CD4 count 647 cells/mm3 and undetectable HIV RNA level) presents for follow-up blood pressure evaluation. Her only medication is dolutegravir-rilpivirine. Two weeks ago, her blood pressure was 146/94 mm Hg, and her blood pressure today is 147/95 mm Hg.

Based on the 2025 ACC/AHA Hypertension Guidelines, which one of the following best describes the category for her recent blood pressure readings?

All medications are given once daily unless otherwise noted.
Figure 1. 2017 ACC/AHA Hypertension Guideline: Categories of Blood Pressure for Adults
All medications are given once daily unless otherwise noted.
Source: Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018;71:2199-2269.
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Question Last Updated
January 27th, 2025

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