18th August 2020

A 62-year-old is reviewed by his GP, as part of his annual health check

A 62-year-old is reviewed by his GP, as part of his annual health check. He has a past medical history of angina, hypertension, and hyperlipidaemia, and takes ramipril and atorvastatin as regular medication. He has recently had a coronary angiogram, and was told following this that the plaques in his coronary vessels mean he is at risk of a heart attack, which has worried him. His Q-RISK 2 score is calculated as 24%, and the GP would like to start him on some further medication to reduce his cardiovascular risk. His blood pressure has been well-controlled.

For the case above, please select the SINGLE most appropriate drug to prescribe as a primary or secondary prevention measure. Select ONE option from the list above.