Instructions
You are a medical student on placement in general practice. Frank Costa, 63, is here to discuss his exercise test, which confirmed angina. The report and his new medicines are below.
Take a focused history
Explain the diagnosis and your management plan to the patient
Show the patient how to use the spray
- A demonstration spray is on the table
Exercise test
Stopped at 7 METs for typical chest tightness; 1 mm ST depression V4 to V6, resolved in 3 minutes. Positive, intermediate risk; cardiology referral sent
Started last week
Metoprolol 25 mg twice daily, aspirin 100 mg daily, atorvastatin 40 mg at night, GTN 400 microgram spray as needed