What is the recommended intervention for a patient with hypertension and a high risk of cardiovascular disease exceeding 10%?

For a patient with hypertension and a high risk of cardiovascular disease exceeding 10%, the recommended intervention is to initiate antihypertensive medication therapy alongside lifestyle changes. This approach is supported by current guidelines that recognize the need for aggressive management in individuals who are at significant risk of cardiovascular events.

Starting antihypertensive medications helps to effectively lower blood pressure and reduce the overall risk of complications such as heart attack or stroke. Combining medication with lifestyle changes, such as dietary modifications, physical activity, and weight management, creates a synergistic effect that can enhance cardiovascular health and further lower the risk of adverse outcomes.

While lifestyle changes alone are beneficial and critical in managing hypertension and cardiovascular risk, they may not be sufficient for individuals with a high-risk profile. In these cases, pharmacotherapy becomes essential to achieve target blood pressure goals and minimize cardiovascular risk. Monitoring alone or relying solely on dietary modifications and exercise without medication would not adequately address the patient's hypertension, especially when the risk for cardiovascular disease is markedly elevated.