A patient presents in the cardiac emergency department with left-sided chest pain. His ECG shows ST segment elevations. Patient complains that this pain occurs cyclically, i.e., at the same time each day and during rest period. What is the most likely treatment?
  1. Calcium channel blockers
  2. Beta blockers
  3. Alpha blockers
  4. ACE inhibitors
Explanation
Answer- A - The most likely treatment for this case is the Variant Angina. This type of angina is due to the spasm of the coronary arteries. In this case, the most likely treatment for Variant angina is calcium channel blockers. Calcium channel blockers are arterial vasodilators and have affect both the coronary and the peripheral arteries.
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