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Statin intensity after ACS — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsStatin intensity after ACSGPhC CRA

A 59-year-old man is discharged after a non-ST elevation myocardial infarction. His discharge medicines include aspirin, ticagrelor, ramipril and bisoprolol. No lipid-lowering medicine is listed. What is the most appropriate action?

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Correct answer: AContact the prescriber to discuss starting high-intensity atorvastatin

After acute coronary syndrome, high-intensity statin therapy is standard secondary prevention unless contraindicated. Atorvastatin 80 mg daily is commonly used, with dose adjustment if there are tolerability or interaction issues. The omission should be queried before the patient leaves with an incomplete secondary prevention regimen.

Reference: NICE CKS; BNF