SECONDARY PREVENTION FOR PATIENT WITH CORONARY ARTERY DISEASE (AHA/ACC 2006)

Smoking	Complete cessation No exposure to environmental tobacco smoke
Blood Pressure Control	130/80mmhg
Lipid Management	LDL-C, less than 2.0mmol/l
Physical Activity	30 minutes, 7 days per week
Weight Management	BMI 18 to 23kg/m2 Waist circumference (Men <38>
Diabetes Management	HbA1c <7%
Antiplatelet	Aspirin indefinitely (75 to 162mg daily) Add Clopidogrel 75mg daily post acute coronary syndrome or stenting Warfarin for AF
Renin Angiotension Aldosterone blockers	ACE Inhibitors for all patients ARB for ACE Inhibitor intolerance ACE Inhibitor and ARB combination for heart failure Aldosterone receptor blocker for NYHA class III and IV
Beta Blockers	Myocardial infarction, acute coronary syndrome, heart failure

Secondary prevention: "Post cardiac event"