Question

A 60-year-old man with stable angina is reviewed. He remains symptomatic despite taking Bisoprolol 10mg OD. His heart rate is 60 bpm and blood pressure is 120/80 mmHg. What is the most appropriate next step in management?

Accepted Answer

Add a dihydropyridine Calcium Channel Blocker (e.g., Amlodipine)

Answer

Increase Bisoprolol to 20mg OD

Answer

Add a rate-limiting Calcium Channel Blocker (e.g., Diltiazem)

Answer

Add Ivabradine

Answer

Add Nicorandil

Practice question

A 60-year-old man with stable angina is reviewed. He remains symptomatic despite taking Bisoprolol 10mg OD. His heart rate is 60 bpm and blood pressure is 120/80 mmHg. What is the most appropriate next step in management?