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Won't having an MI be a very big risk factor for another one ?
And also if they wanted this answer (the anti-depressant), why would they just add that his LDL is inreasing in the last sentence...
bc they're SOBs and DOBs
Yeah, recommended LDL in people with previous heart problem is < 100 jeez
It is because of the timeframe of mortality is 2 yrs, everything else will affect later
mdd increase MI
Type 2 diabetes and major depressive disorder (MDD) are independent contributors to cardiovascular disease and to an increased risk of myocardial infarction (MI).
None of the cardiovascular options would improve mortality (statins, ACEi, BB, spironolactone are the ones that have proven mortality benefit). So if they had put one of those, I think I would have chosen that, but given that the rest don't change mortality at all, I went with the antidepressants.
My thinking was that since he had an MI, a beta blocker would improve mortality, and propranolol is also used as an anxiolytic.