A 64-Year-Old Man Is Assessed for Discharge After Being Admitted

A 64-year-old man is assessed for discharge after being admitted 2 days ago for non-ST-segment elevation myocardial infarction.  He underwent successful percutaneous coronary intervention to the right coronary artery on the day of admission and has since been symptom-free.  The patient has a history of hypertension and was treated with lisinopril before admission.  His father underwent coronary artery bypass grafting at age 65, and his sister has diabetes.  The patient drinks a 6-pack of beer most nights and does not use tobacco or illicit drugs.  Weight is 90 kg (198.4 lb) and height is 177.8 cm (5 ft 10 in) .  BMI is 28.5 kg/m².  Blood pressure is 142/89 mm Hg.  His dentition is poor.  The lungs are clear on auscultation, and there are no heart murmurs.  A faint bruit is heard over the right carotid artery, but there are no periumbilical bruits.  Lower extremity pulses are full and there is no peripheral edema.  Fasting laboratory results are as follows: Thyroid function tests are normal.  In addition to high-intensity statin therapy, which of the following is the best recommendation for management of this patient's lipid disorder?

A) Carbohydrate-free diet
B) Extended-release niacin
C) Gemfibrozil
D) Metformin
E) Reduced alcohol intake
F) Vitamin E supplementation

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free