Drugs used in secondary prevention after myocardial infarction: Case presentation

Abstract

The patient was discharged from hospital 6 days following admission. His discharge medications were aspirin 150 mg once daily, an ACE inhibitor and a stain (his cholesterol level was 6.7 mmol l-1 on the admission). At this point there was no clinical evidence of heart failure and he had a good exercise tolerance with no evidence of postinfarct angina. An exercise tolerance test had been arranged for 4 weeks after discharge. He had also received advice about diet and exercise and been encouraged to take part in the hospital's cardiac rehabilitation programme. An outpatient appointment was made for 6 weeks after discharge to assess his recovery, review the result of his exercise test, ensure adequate titration of his drugs and consider the possibility of introducing a β-adrenoceptor blocker.