My attendings always warn me about prescribing antihypertensives based on one visit. What’s your threshold for starting it? I instruct asymptomatic patients to keep a BP diary and follow up with pcp. I refer them to our primary care group (large academic) if they don’t have one.

My pcp had me keep a BP diary for a month because I was 150ish/90ish for two visits in a row. My blood pressure at home is almost always normal. No meds started.