Which medication relieves angina quickly?

• A. GTN spray
• B. Salbutamol inhaler
• C. Adrenaline
• D. Glucogel

Answer: (A)

Angina relief fast comes from a medicine that rapidly reduces the heart’s oxygen demand while improving blood flow to the heart. Sublingual GTN spray does exactly that by releasing nitric oxide, which relaxes vascular smooth muscle and causes quick vasodilation—especially of the veins—lowering preload and thus decreasing the heart’s workload. It can also improve coronary blood flow, providing prompt relief of chest pain within minutes and lasting for about 20–30 minutes. The other options don’t provide this rapid anti-anginal effect: a salbutamol inhaler is a bronchodilator for asthma and can raise heart rate; adrenaline increases cardiac workload and blood pressure; glucogel is used for hypoglycemia, not chest pain.