A 68-Year-Old Man Is Admitted with Acute Severe Chest Pain

A 68-year-old man is admitted with acute severe chest pain and ST-segment elevation in the inferior electrocardiogram leads.  Coronary angiogram shows complete occlusion of the mid right coronary artery, which is successfully treated with a drug-eluting stent.  It also shows 50% stenosis of the mid left anterior descending artery and 30% stenosis of the left circumflex artery.  His other medical problems include hypertension and hyperlipidemia.  Echocardiogram shows inferior wall hypokinesis with left ventricular ejection fraction of 50%.  On the third day of hospitalization, the patient feels well and wants to go home.  His blood pressure is 122/70 mm Hg and heart rate is 60/min.  His current medications include atorvastatin, metoprolol, lisinopril, aspirin, and ticagrelor.
Which of the following is the best management for this patient?

A) Cardiac rehabilitation
B) Clopidogrel
C) Eplerenone
D) Isosorbide mononitrate
E) Stress testing before discharge

Correct Answer:

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