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A 63 yo woman with exertional angina is taking atenolol (Tenormin) 100 mg qd for management of her angina. While the drug appears to be effective in reducing her heart rate, it has not provided an adequate change in her double product (heart rate x systolic blood pressure) at the time of onset of anginal pain during a treadmill test. A second drug that could be added to her drug regimen that could improve her treadmill performance would be:

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Correct ans is (C).ISOSORBIDE DINITRATE. Isosorbide dinitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart.

C-isosorbide dinitrate will improve her treadmill performance.it is coronary dilator will reduce heart rate systolic blood pressure and coronary spasm and improve treadmill performance as such.

It is C. Isosorbide dinitrate to be added as second drug

Thanks Dr. Ashok leel ,Dr. Dinesh Gupta, Dr. Rachana Tanurag, Dr. Feroz Zaman, Dr. Virendra Ganjeer
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C . Isosorbide dinitrate

Thanks Dr Vipin Bihari Jain
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The correct answer is, "C. Isosorbide dinitrate"

isosorbide wd be the choice

Consider to give other anti hypertension drug like amlodipine.ANTI PLATLATE AND CHECK CHOLESEROL PROFILEAND GIVE STATIN.CHECK EJECTION FRACTION .ANGEOGRAPHY ANF IF THREE ARTERY BLOCK GO FOR BYEPASS SURGERY. ONE SHOULD WORRY ABOUT BYEPASS SRGERY. NOW ADAYS EVEN ONE ARTERY BYE PASS IS POSSIBLE.DAYS ARE VERY NEAR BYE PASS SURGEY PT WOULD SEE HIS BYEPASS SURGERY HIMSELF. INTERVNTION CARDIOLOGIST NOOW ADAY UNDERSTAND ALL THESE.. BY AN LARGE PEOPLE ARE ETICAL BUT SOME SHOULD UNDERSTAND ONE DAY EVERYBODY HAS TO ANSWER THEIR DOODS. GOD BLESS EVEYBODY.

SUGGESTIVE. OF ..C... ISOSORBIDE. DINITRATE..

C isosorbide

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