10th June 2021

A 48-year-old man attends a GP appointment

A 48-year-old man attends a GP appointment. He has been having investigations into recurrent episodes of collapse, which started happening around six months ago. He has been discharged from secondary care services following extensive investigation, including a 24 hour ECG, stress testing, and an echocardiogram, all of which were normal. His collapse episodes occur two or three times a month, and generally happen when he is at work, as a car salesman. He describes a feeling of dizziness and clamminess, before a sudden loss of consciousness, followed by a quick recovery. These episodes only happen whilst standing. His past medical history includes gout, hypertension and angina.

Which of the following medications could be considered to treat this patient’s condition?

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