AcuteCVDays 2025 - Week 2

A 62-year-old patient was discharged 3 months ago after an acute STEMI. The patient has a BMI of 27.5 despite previous diet attempts, normal kidney function, an HbA1c of 42 mmol/mol, and a history of NSTEMI 22 months ago. At home, the patient is taking their usual medications, including well-tolerated blood pressure-lowering therapy, with an average blood pressure of 132/81 mmHg.

Which of the following treatment strategies would be most appropriate?

Reinforce dietary advice and continue current therapy

Reinforce dietary advice, continue current blood pressure medication, and consider adding colchicine

Propose injectable treatment with semaglutide, increase blood pressure medication, and consider adding colchicine

Propose injectable treatment with semaglutide, continue current blood pressure medication, and consider adding colchicine

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