A patient is diagnosed with hypertension.
What is the initial recommendation for this patient likely to be?

Nitrates are a class of drugs that help to widen the blood vessels and increase blood flow to the heart muscle, which reduces the chest pain or discomfort caused by angina.Nitrates can be taken as a mouth spray or tablets that dissolve under the tongue during an angina attack, or as a preventive measure before physical activity.

Choice A is wrong because fatty oxidase enzyme inhibitors are not a real class of drugs.

Fatty acid oxidation is a process that breaks down fats for energy, and it is not related to angina treatment.

Choice B is wrong because beta adrenergic blockers are not the main class of drugs for angina treatment, although they can be used to prevent angina attacks by slowing down the heart rate and reducing the blood pressure.

Beta blockers block the effects of epinephrine (adrenaline) on the heart and blood vessels, which reduces the oxygen demand of the heart.

Choice D is wrong because statins are not used to treat angina attacks, but to lower the cholesterol levels in the blood and prevent plaque buildup in the arteries.

Statins can help reduce the risk of heart attacks and strokes in people with angina, but they do not relieve angina symptoms.

Intermittent claudication is a condition in which leg pain is produced upon increased activity and ischemia to tissues, but then the pain is reduced with rest. This is because the blood flow to the leg muscles is insufficient to meet the increased demand during exercise, but adequate at rest.Intermittent claudication is a common symptom of peripheral artery disease (PAD), which is a narrowing of the arteries that supply blood to the legs.

Choice B, sporadic ischemia, is wrong because it is not a specific medical term for a condition that causes leg pain.

Ischemia means reduced blood flow to a part of the body, which can cause pain, but it can be caused by various factors and affect different organs.

Choice C, angina, is wrong because it is a term for chest pain caused by reduced blood flow to the heart, not the legs.

Angina can also be triggered by physical activity and relieved by rest, but it is not related to PAD or leg ischemia.

Choice D, restless leg syndrome, is wrong because it is a condition that causes an uncomfortable urge to move the legs, usually at night or when lying down.

Restless leg syndrome does not cause pain or ischemia in the legs, and it is not improved by rest.It is thought to be related to a problem with the nervous system or iron deficiency.