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Primary Care ManagementQuestion 5/10

A 57-year-old woman with HIV (CD4 count 455 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 143/92 mm Hg. Today, her blood pressure is 148/94 mm Hg.

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

Figure 1. 2025 Hypertension Guidelines: Categories of Blood Pressure for Adults
Source: Jones DW, Ferdinand KC, Taler SJ, et al. 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Hypertension. 2025;82:e212-e316.
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Question Last Updated
June 28th, 2026

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