Best Medical Therapy
All patients with atherosclerotic
disease ('hardening of the arteries') should be considered for Best
Medical Therapy (BMT) which comprises:
Complete and permanent cessation of smoking.
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Regular exercise (e.g. 30 minutes of walking
Anti-platelet agent (e.g. Aspirin 75mg or
Clopidogrel 75mg daily)
Lipid lowering therapy - usually achieved with
a statin (e.g. Simvastatin 40mg daily at night).
Diagnosis and treatment of high blood pressure
Diagnosis and treatment of diabetes
Many patients, once they are
established on BMT, need no further specific treatment.
However, if symptoms persist then
patients may benefit from further investigations and one or more
so-called adjuvant treatments such as