AKT-0331

A 70-year-old man presents with exertional chest pain and a positive exercise tolerance test. He refuses to undergo an angiogram and is discharged with a medication regimen consisting of aspirin 75 mg od, simvastatin 40 mg on, atenolol 50 mg od, and a GTN spray prn. Upon examination, his pulse is 72 bpm and his blood pressure is 130/80 mmHg. During follow-up, he continues to frequently use his GTN spray. What is the most appropriate course of action for his management?