A 62-year-old man with chronic coronary syndrome is being treated with a beta- blocker. His angina symptoms were previously well controlled, but over the last few weeks he has developed recurrent exertional chest pain. Which of the following is the most appropriate addition to improve his symptoms?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Amlodipine
Angina that keeps coming back on a beta blocker needs another anti-anginal drug. A dihydropyridine CCB (amlodipine) is added as second-line or combination therapy: it dilates the coronary arteries and lowers afterload. Aspirin and atorvastatin are given to every patient with CAD to prevent events, but they do not relieve angina symptoms. Heparin is for acute coronary syndromes, not chronic stable angina.
ليش كل خيار صح أو غلط
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A
ليش صح
Amlodipine is a dihydropyridine CCB that lowers afterload; CCBs are the second-line or combination add-on when beta-blocker alone is not enough.
✓ CARDIOLOGY- ISCHEMIC HEART DISEASES (IHDs).pdf · p. 5 -
B
ليش غلط
Aspirin is a drug that improves outcomes (mortality) in stable angina; it is not one of the drugs that relieve angina symptoms.
✓ Step-Up To Medicine 6th (IHD & ACS).pdf · p. 6 -
C
ليش غلط
Heparin belongs to the list of therapies for acute MI, not to chronic stable angina.
✓ Step-Up To Medicine 6th (IHD & ACS).pdf · p. 16 -
D
ليش غلط
Atorvastatin is a high-intensity statin, which improves mortality; the drugs that relieve angina are beta-blockers, nitrates, CCBs and ranolazine.
✓ Step-Up To Medicine 6th (IHD & ACS).pdf · p. 6
- المصدر
- Step-Up To Medicine 6th (IHD & ACS).pdf · p. 7
CARDIOLOGY- ISCHEMIC HEART DISEASES (IHDs).pdf · p. 5 - المحاضرة
- Ischemic Heart Disease · Cardiology · Module B
- ظهر في
- MED43 ♀ Compre