Question

A 63-year-old male with chronic stable angina on optimal medical therapy (aspirin, beta-blocker, and statin) still experiences frequent chest pain on exertion. He does not tolerate higher doses of beta-blockers. What is the most appropriate next step to manage his angina?

Accepted Answer

Add diltiazem (a calcium channel blocker)

Answer

Switch aspirin to clopidogrel

Answer

Add a loop diuretic

Answer

Advise complete bed rest

Answer

Refer for heart transplant evaluation

Practice question

A 63-year-old male with chronic stable angina on optimal medical therapy (aspirin, beta-blocker, and statin) still experiences frequent chest pain on exertion. He does not tolerate higher doses of beta-blockers. What is the most appropriate next step to manage his angina?