A 48-year-old woman is seen in the clinic because of recurrent severe nocturnal chest pain for several months that rapidly resolved with sublingual nitrate. She had a normal cardia... A 48-year-old woman is seen in the clinic because of recurrent severe nocturnal chest pain for several months that rapidly resolved with sublingual nitrate. She had a normal cardiac catheterization and positive ergonovine echocardiography testing. She does not want to use multiple medications and she accepts to use only one drug as a long-term maintenance therapy. Which of the following drugs is the best strategy for long-term management of this patient?
Understand the Problem
The question describes a medical scenario involving a 48-year-old woman with recurrent nocturnal chest pain. It is asking for the best long-term medication option that aligns with her preference to use only one drug for management.
Answer
Nifedipine
The best drug for long-term management is Nifedipine.
Answer for screen readers
The best drug for long-term management is Nifedipine.
More Information
Vasospastic angina is typically managed with calcium channel blockers like Nifedipine, which help prevent coronary vasospasms effectively.
Tips
Aspirin and beta-blockers are generally ineffective for vasospastic angina. Pay attention to drug classes and their typical uses.
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