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All patients with stable angina should be treated with aspirin and a statin, unless contraindicated.1 ACE inhibitors are recommended for patients with co-existing conditions that would benefit from this treatment (Table 2). Table 2: Medicines to improve prognosis for stable angina (adapted from Abrams, 2005)2.
This patient, free of vascular risk factors, would be well within goal with a low-density lipoprotein of 106 mg/dL. Therefore, there is no indication for initiating statin therapy in this patient, at any dose, for low-density lipoprotein reduction.Finally, despite their seemingly ubiquitous use, it is important to remain cognizant of the substantial costs and potential risks associated with statin treatment.he opinions expressed in this article are not necessarily those of the editors or of the American Heart Association. This article is Part 2 of a 3-part article. Parts 1 and 3 appear on pages 1992 and 1996, respectively.