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Chronic Coronary Disease — EECC MCQ

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ModerateCardiologyChronic Coronary DiseaseEECC

A 59-year-old with chronic stable angina and prior MI is on aspirin, high-intensity statin, beta-blocker, and ACE inhibitor. What additional therapy reduces events in stable chronic coronary disease?

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Correct answer: A — High-intensity statin adherence and consider SGLT2/GLP-1 if diabetic; no routine dual antiplatelet without recent ACS/PCI

CCD guidelines emphasize intensive risk reduction (statin, BP, DM therapies with proven CV benefit) and individualized antianginal therapy; routine long-term DAPT is not indicated without recent stent/ACS; nitrates relieve angina but do not reduce events.

Reference: NICE NG185: Acute coronary syndromes: https://www.nice.org.uk/guidance/ng185/chapter/recommendations