AAAAA
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A 55-year-old man with coronary artery disease is evaluated 2 weeks after having had a myocardial infarction. On discharge, his medications included aspirin, sustained-release metoprolol, isosorbide mononitrate, lisinopril, and atorvastatin. Echocardiogram at that time showed inferior and posterior wall akinesis and a left ventricular ejection fraction of 40%.
On examination, his heart rate is 60/min and his blood pressure is 130/70 mm Hg. Jugular venous pressure is normal and the chest is clear. Cardiac rhythm is regular, with normal S1 and S2 and no murmurs or extra heart sounds. Laboratory results from yesterday are potassium 5.7 meq/L (5.7 mmol/L), creatinine 1.0 mg/dL (88.42 µmol/L), and LDL cholesterol 65 mg/dL (1.68 mmol/L). Lisinopril therapy is stopped.
Which of the following medications should be started in this patient?
A Valsartan B Spironolactone C Amlodipine D Eplerenone E Hydralazine
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