JP a 57-year-old account executive presents for BP follow-upvisit

Elevated BP identified 2 months ago during annual visit

Interim BPs taken at local pharmacies have all been normal

Normal hematology, biochemistry, renal function andelectrolytes

Normal EKG with no evidence of LVH

Office BP , using auscultatory wall-mounted mercurysphygmomanometer:

152/102 mmHg

How would you explain this observation and suggest a treatmentplan with rationales

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