Trimetazidine acts by: (A) Inhibiting Rhokinase, (B) Inhibits Molecular light chain kinase (MLCK) and increase cGMP, (C) Inhibits pFox enzyme and inhibits β - oxidation of Fatty acids, (D) Inhibits sodium channels and decreases funny current
Answer is C. It  inhibits pFox enzyme and inhibits β - oxidation of fatty acids and increases glucose oxidation. Thus reduces the oxygen consumption & demand in an ischaemic cell.