A 64-year-old man visits the office after experiencing chest pain while working out for the past six months. He has smoked one pack of cigarettes a day for his whole life and has a history of type 2 diabetes and peripheral vascular disease. When the patient is put through a treadmill exercise stress test, they have substernal chest pain with moderate effort, along with alterations in their ECG, which disappear as soon as they stop. He rejects having an invasive heart test. The patient begins low-dose aspirin therapy for the secondary prevention of cardiovascular disease, but the medicine causes wheezing and shortness of breath. Which of the following is the best alternate therapy for this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: The P2Y12 subunit of ADP receptors on platelet surfaces are permanently blocked by clopidogrel, which also stops platelet aggregation. When it comes to protecting individuals with coronary heart disease from cardiovascular events, clopidogrel is just as effective as aspirin.

A 64-Year-Old Man Visits the Office After Experiencing Chest Pain