Intensive Care Medicine (ICM) Practice Exam

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After an acute myocardial infarction, what is the recommended medication for secondary prevention?

Antibiotics
Statins
Antidepressants
Antihistamines

The correct answer is: Statins

Following an acute myocardial infarction (AMI), the administration of statins is highly recommended for secondary prevention. Statins play a crucial role in managing cholesterol levels, particularly in patients who have experienced a heart attack. They help reduce low-density lipoprotein (LDL) cholesterol, which is a significant contributor to the development of atherosclerosis and subsequent cardiovascular events. In addition to lowering cholesterol, statins have pleiotropic effects, including improving endothelial function, stabilizing atherosclerotic plaques, and reducing inflammation within blood vessels. These mechanisms collectively contribute to a decreased risk of subsequent cardiovascular events, making statins a cornerstone in the post-MI management strategy. Other medications may have their uses in different contexts, but in the scenario of secondary prevention following an AMI, statins are indicated due to their evidence-based benefits in reducing morbidity and mortality associated with heart disease.