Give with PPI if patient is at risk of GI bleeding
NB: durations depend on bleeding and thrombosis risk, and they may modified on a case-by-case basis.
Cardiovascular risk reduction
Lifestyle modifications/cardiac rehabilitation and smoking cessation
β-blocker (lifelong if LV dysfunction; for at least 1 year and consideration of lifelong use if not)
ACE inhibitor (lifelong)
Aldosterone antagonist, e.g. eplerenone (if LV dysfunction)
Test your knowledge
What are the definitions of STEMI, NSTEMI and unstable angina
What are the three patterns of unstable angina?
In which ECG leads would ST changes be present in for each of the following myocardial infarctions? Which coronary artery would be involved for each? 1. Inferior 2. Anteroseptal 3. Anterolateral 4. Lateral 5. Posterior
What is the GRACE score and which factors does it take into account?