Question

A 60-year-old man with stable angina gets nitrate headache and hypotension with isosorbide mononitrate. Which alternative improves symptoms and prognosis?

Accepted Answer

Diltiazem (rate-limiting) if beta-blocker contraindicated

Answer

Ivabradine monotherapy

Answer

Short-acting nitrates only

Answer

Amlodipine plus ranolazine without assessment

Answer

Nicorandil first-line always

Practice question

A 60-year-old man with stable angina gets nitrate headache and hypotension with isosorbide mononitrate. Which alternative improves symptoms and prognosis?