Question

A 60 year old man with long standing stable angina describes chest tightness after walking 200 metres on the flat that settles with rest or sublingual Glyceryl trinitrate. His symptoms have recently worsened despite maximal Beta blocker therapy. According to NICE guidance, what is the most appropriate next step in management?

Accepted Answer

Refer for urgent coronary angiography to consider revascularisation

Answer

Increase Glyceryl trinitrate dose and review in 6 months

Answer

Add a second antianginal and continue medical management only

Answer

Arrange an outpatient exercise tolerance test in 6 months

Answer

Stop beta blocker and start long acting Nitrate

Practice question