A 64-year-old woman had an anterior STEMI treated with primary PCI 3 months ago. She is on acetylsalicylic acid, ticagrelor, high-intensity statin and...

Question

A 64-year-old woman had an anterior STEMI treated with primary PCI 3 months ago. She is on acetylsalicylic acid, ticagrelor, high-intensity statin and ramipril. LVEF is 38%. Blood pressure is 118/68 mm Hg, heart rate 58 bpm, and she is not on a beta blocker. What is the best next step?

Accepted Answer

Add metoprolol succinate

Answer

Stop ticagrelor at 3 months

Answer

Add a non-dihydropyridine calcium channel blocker

Answer

Start digoxin

Answer

Start long-acting nitrate as routine secondary prevention

ca-mccqe1 MCQ (SBA): Post-MI secondary prevention

A 64-year-old woman had an anterior STEMI treated with primary PCI 3 months ago. She is on acetylsalicylic acid, ticagrelor, high-intensity statin and ramipril. LVEF is 38%. Blood pressure is 118/68 mm Hg, heart rate 58 bpm, and she is not on a beta blocker. What is the best next step?