B.W., A 55 year-old stockbroker comes to your office for the first time for what he calls a routine check-up. He feels well and has no specific complaints. Past history is notable for blood pressure that was " a bit up" on one or two previous occasions over the past 5 years. However, the patient states that it was never high enough to warrant medication. On physical examination the patient is found to be 5'7" tall with a weight of 190 lbs. Blood pressure is 150/102 mm Hg in the right arm in the sitting position.