Which of the following is the most appropriate additional drug for a 60-year-old man with stable angina, diabetes, and hypertension who is already on aspirin, rosuvastatin, and nit... Which of the following is the most appropriate additional drug for a 60-year-old man with stable angina, diabetes, and hypertension who is already on aspirin, rosuvastatin, and nitroglycerine but still gets angina with moderate exercise?
Understand the Problem
The question is asking which additional drug is appropriate for a 60-year-old man with stable angina, diabetes, hypertension, and intermittent claudication, who is already on several medications but continues to experience angina during moderate exercise.
Answer
Metoprolol
The most appropriate additional drug for a 60-year-old man with stable angina, diabetes, and hypertension is Metoprolol.
Answer for screen readers
The most appropriate additional drug for a 60-year-old man with stable angina, diabetes, and hypertension is Metoprolol.
More Information
Metoprolol is beneficial for controlling heart rate and reducing angina episodes. It provides positive effects for patients with diabetes and hypertension by reducing heart workload and improving efficiency.
Tips
A common mistake is choosing calcium channel blockers without considering beta-blockers, which are often preferred initially for angina control.
Sources
- Chronic Coronary Artery Disease: Diagnosis and Management - PMC - pmc.ncbi.nlm.nih.gov
- Stable Coronary Artery Disease: Treatment - AAFP - aafp.org
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