Dr. Kyriacou: Ramipril provides cardiovascular risk reduction and blood pressure control, which is valuable for long‑term prevention, but it does not give prompt relief of exertional chest pain. ACE inhibitors do not directly lower heart rate or contractility, so they do not target the immediate supply–demand imbalance that provokes Mr. Garcia’s symptoms on exertion. You should consider evidence-based anti-anginal drugs in this case.  

Please go back and re‑consider.