58 year old female has known coronary artery disease and has been - TopicsExpress

58 year old female has known coronary artery disease and has been experiencing substernal chest pains typical for her angina with minimal exertion. Angiography reveals diffuse coronary disease and medical therapy for angina is recommended. She is taking atenolol 25 mg PO daily, diltiazem CD 480 mg PO daily, isosorbide mononitrate 480 mg PO daily, aspirin and atorvastatin. Her blood pressure is 110/70, heart rate 80, respirations 16 and oxygen saturation normal. Laboratory evaluation is normal including a CBC and BMP. Which of the following is the most appropriate course of action to improve her angina? A. Increase atenolol to 50 mg PO daily B. Increase isosorbide mononitrate to 600 mg PO daily C. Add ranolazine D. Enhanced external counterpulsation E. Add amlodipine

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