Which of the following is the most appropriate additional drug? A. Diltiazem
Understand the Problem
The question is asking which additional medication would be appropriate for a 60-year-old man with diabetes, hypertension, and angina who is already being treated with aspirin, rosuvastatin, and nitroglycerin but continues to experience angina during moderate exercise. This involves understanding the patient's medical condition and the best pharmacological approaches for further management.
Answer
Ranolazine
The final answer is ranolazine.
Answer for screen readers
The final answer is ranolazine.
More Information
Ranolazine is an anti-anginal medication effective at reducing angina symptoms, especially in patients who continue to experience symptoms while on other medications. It does so without significantly impacting heart rate or blood pressure.
Tips
A common mistake is assuming beta-blockers or additional calcium channel blockers alone will suffice; ranolazine targets angina specifically.
Sources
- Stable Angina Treatment - Mayo Clinic - mayoclinic.org
- Ranolazine in the Management of Angina - PubMed - pubmed.ncbi.nlm.nih.gov
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