A 72-year-old man is investigated for exertional chest pain and - TopicsExpress

A 72-year-old man is investigated for exertional chest pain and has a positive exercise tolerance test. He declines an angiogram and is discharged on a combination of aspirin 75mg od, simvastatin 40mg on, atenolol 50mg od and a GTN spray prn. Examination reveals a pulse of 72 bpm and a blood pressure of 130/80 mmHg. On review he is still regularly using his GTN spray. What is the most appropriate next step in management? Add nifedipine MR 30mg od Add isosorbide mononitrate 30mg bd Increase atenolol to 100mg od Add nicorandil 10mg bd Add verapamil 80mg tds

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