Question

A 65-year-old man with known chronic stable angina presents to his GP reporting chest tightness on walking 200 metres, relieved by rest. He is on Aspirin and Atorvastatin only. Examination and baseline investigations are unremarkable. What is the most appropriate next step in his management?

Accepted Answer

Start a beta-blocker such as Bisoprolol and provide a short-acting nitrate for symptom relief

Answer

Arrange immediate hospital admission for suspected acute coronary syndrome

Answer

Start long-term dual antiplatelet therapy with Aspirin and Clopidogrel

Answer

Refer urgently for coronary artery bypass grafting

Answer

Advise complete rest and no pharmacological treatment

Practice question

A 65-year-old man with known chronic stable angina presents to his GP reporting chest tightness on walking 200 metres, relieved by rest. He is on Aspirin and Atorvastatin only. Examination and baseline investigations are unremarkable. What is the most appropriate next step in his management?