EasyCardiologySecondary prevention after myocardial infarctionau-amcau-racp
A 68-year-old man is reviewed 6 weeks after an anterior ST-elevation myocardial infarction treated with primary PCI. He is clinically stable. His medications are aspirin, ticagrelor, high-dose atorvastatin and metoprolol. He has an ejection fraction of 38% and no contraindication to ACE inhibitors. According to Australian secondary prevention recommendations, which additional medication should be routinely added?