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Self-Assessment Questions

Cardiology

Answer 4
  1. Aspirin, clopidogrel, lisinopril, metoprolol, pravastatin. After MI, patients should be discharged on dual antiplatelet therapy with aspirin and clopidogrel regardless of the mode of reperfusion.3 This patient should also be treated with a ß-blocker and an angiotensin-converting enzyme inhibitor per current guidelines.3 Aggressive lipid-lowering therapy with a statin is also important and should be initiated while the patient is in the hospital and continued upon discharge.3 The other answers do not outline the complete regimen that would be most beneficial to the patient.

    REFERENCE
    3. Antman EM, Hand M, Armstrong PW, et al; Canadian Cardiovascular Society; American Academy of Family Physicians; American College of Cardiology; American Heart Association. 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines [published erratum appears in J Am Coll Cardiol 2008;51:977]. J Am Coll Cardiol 2008;51:210–47.

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