6th March 2024

You are reviewing a 52-year-old female in the rapid access chest pain clinic.

You are reviewing a 52-year-old female in the rapid access chest pain clinic. She gives a history of chest pain on exertion that is relieved by rest. She has a background of severe asthma and gout. ECG shows second degree heart block. On examination, BP is 145/92 mmHg and HR is 55 bpm. Which of the following medications would you initiate in the first instance to reduce the frequency of her symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.