An MI pt who is already on aspirin no longer smokes and his cholesterol, ECG, echo and BP are
normal. Choose the best option for him:
a. Give statin
b. Give statin+warfarin
c. Low cholesterol diet
d. Statin+ACEi
answer: D
Secondary prevention of MI
Anticoagulation with warfarin for three months if high risk e.g. large anterior MI, thrombus
Antiplatelet therapy: aspirin 75mg + tricagrelor......clopidogrel if contraindicated
ACE-i.........ARB if contraindicated
B-blocker............Ca channel blocker if contraindicated: verapamil, diltiazem
Statin...........regardless of cholesterol levels
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