The Correct Answer is A!
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A 45 year-old man presented with an inferior STEMI treated with primary PCI and a DES. He did well without complications and has an EF of 48% upon dismissal.
Which of the following medications is required for GDMT?
- Beta blocker
- Aldosterone antagonist
- Angiotensin II receptor blocker
- ACE inhibitor
Beta blockers should be continued during and after hospitalization for all patients with STEMI and with no contraindications to their use. The benefit of beta blockers for secondary prevention has been established in multiple trials conducted in the pre-perfusion era. The duration of beta blocker following MI is not well established, but the ACC AHA recommendations are for three years. The role of ACE inhibitors or ARBs in low risk patients without heart failure following STEMI is less certain.
1. Source: "Comparative Analysis of Pre/Post Assessments of Live/Didactic Course Attendees when compared to Mico-Learning/Online Course Users., "Knowledge to Practice, 2017.