MediumCardiologySecondary prevention after myocardial infarctionau-amcau-racp
A 52-year-old man had an ST-elevation myocardial infarction 3 months ago treated with primary PCI. He is clinically stable. Current medications are aspirin 100 mg daily, atorvastatin 80 mg nightly and perindopril 5 mg daily. Blood pressure is 122/74 mmHg and heart rate 84 beats/min in sinus rhythm. Which additional long-term medication is most clearly indicated to improve prognosis?