An otherwise healthy 58-year-old man presents with a 6-month history of exertional chest pain that resolves with rest. He smokes 10 cigarettes daily.

Question

An otherwise healthy 58-year-old man presents with a 6-month history of exertional chest pain that resolves with rest. He smokes 10 cigarettes daily. According to NICE guidelines, which medication is the most appropriate first-line for prophylactic management of stable angina?

Accepted Answer

Beta-blocker (e.g. bisoprolol)

Answer

Sublingual glyceryl trinitrate

Answer

ACE inhibitor (e.g. ramipril)

Answer

Dihydropyridine calcium-channel blocker (e.g. amlodipine)

Answer

Long-acting nitrate (e.g. isosorbide mononitrate)

Stable Angina — UKMLA MCQ

An otherwise healthy 58-year-old man presents with a 6-month history of exertional chest pain that resolves with rest. He smokes 10 cigarettes daily. According to NICE guidelines, which medication is the most appropriate first-line for prophylactic management of stable angina?