RT Book, Section A1 Katzung, Bertram G. A2 Vanderah, Todd W. SR Print(0) ID 1204137331 T1 Vasodilators & the Treatment of Angina Pectoris & Coronary Syndromes T2 Katzung’s Basic & Clinical Pharmacology, 16th Edition YR 2024 FD 2024 PB McGraw-Hill PP New York, NY SN 9781260463309 LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1204137331 RD 2024/09/15 AB CASE STUDYA 67-year-old woman presents in the emergency department of a small rural hospital with a history of chest pain and shortness of breath while watching television. While nasal oxygen is administered and an ECG is recorded, blood is drawn for high-sensitivity troponin measurement. Her husband provides the history that she has a history of exercise-induced angina pectoris and has taken nitroglycerin for relief in the past. Two doses of nitroglycerin have not relieved her pain on this occasion. She smokes and has a history of hyperlipidemia with elevated “bad cholesterol” (low-density lipoprotein [LDL]) and hypertension. Her father survived a “heart attack” at age 55, and an uncle died of some cardiac disease at age 60. On physical examination, the patient’s blood pressure is 145/90 mm Hg, and her heart rate is 100 bpm. The ECG shows no ST elevation, but ST depression is present in several leads. Assuming that a dioagnosis of acute coronary syndrome (ACS) is correct, what treatment should be implemented?