Cardio q -

[ArchivalUser]

ankur

Inspite of taking sublingual NTG,a pt has frequent attacks of angina.Some of these attacks begin while he is asleep and others when he is exercising.Which of the following is the most logical approach to prophylactic therapy in this pt?

A.Transdermal NTG patch changed to a fresh one q 24 hrs.

B.Nifedipine orally with S/L NTG as needed for acc. attacks.

C.Propranolol orally with S/L NTG as needed for acc. attacks.

D.Transdermal NTG patch and S/L NTG as needed for attacks.

E.Propranolol orally and oral verapamil as needed for attacks,

[ArchivalUser]

TAC

It sounds like vasospastic angina to me. Tricky though. If it is the case, I will go with B.

TAC

[ArchivalUser]

Sunny

B.Nifedipine orally with S/L NTG as needed for acc. attacks.
as some of the attackes are during sleep, looks like prinzmetal angina, so CCB should be given

[ArchivalUser]

RAJ

B.

[ArchivalUser]

hooch !@!@


B)

[ArchivalUser]

ankur

All of u r right.B it is.