Simvastatin in Coronary heart disease
6 vs. 24 mo. dual antiplatelet in BMS and DES
Radial access in PCI for ACS
Angiography +- PCI within 48h in NSTEMI/UA (mod-high risk)
Dabigatran in Atrial Fibrillation
Sirolimus-eluting stent in Angina patients
Spironolactone in CCF (NYHA III & IV)
CRT (in addition to ICD) in LVEF120ms
Lenient rate control (HR
Atorvastatin 80mg in Recent ACS (within 10 days)
Perindopril in Hypertension in stroke patients
PCI to non-culprit artery in STEMI
Rosuvastatin (40mg) in Coronary heart disease
Ticagrelor in ACS
TAVI or surgical AVR in High-risk AS
Dronedarone in High-risk permanent AF
Telmisartan or Ramipril or both in CAD, stroke, PVD or DM
Fondaparinux 2.5mg daily in ACS (STEMI)
Fondaparinux 2.5mg daily in ACS (UA/NSTEMI)
Immediate PCI in STEMI (thrombolysed)
Radiofrequency catheter ablation in Paroxysmal AF (first line)
ICD-CRT in Heart failure (NYHA I-II; EF 130ms)
Losartan in Hypertension, LVH
Rivaroxaban in Atrial fibrilation
Captopril in Acute MI + LV dysfunction
Oral ISMN (MR) OR oral captopril OR IV magnesium in Suspected acute MI
Nitrendipine (+- enalapril +- hydrochlorothiazide) in Isolated systolic hypertension
Valsartan in Heart failure (NYHA II-IV)
Valsartan OR amlodipine in Hypertension with cardiac RFs
Catheter ablation in Paroxysmal AF
Prasugrel in ACS with scheduled PCI
Prasugrel in UA/NSTEMI no for revasc.
Vorapaxar in Acute Coronary Syndrome
Paclitaxel-eluting (TAXUS) stent in Angina with single vessel disease
Thrombus aspiration in STEMI
PCI in ACS (UA/NSTEMI)
Bilateral renal sympathetic denervation in Resistant hypertension
ICD or Amiodarone in Heart failure
Renal sympathetic denervation in Resistant hypertension
CABG or PCI in 3VD and/or LMS
Nifedipine in Hypertension, age 60-79
SVR & CABG OR CABG in LV dysfunction
Warfarin (INR 1.2-1.5) + Aspirin 325mg in Atrial fibrillation
Warfarin in Atrial fibrillation
Warfarin or Aspirin in Atrial fibrillation
Enalapril in Heart failure (Asymptomatic)
Ivabradine (5-7.5mg BD) in CHF; EF
Chlorthalidone +- Atenolol in Isolated systolic hypertension, age > 60
Rosuvastatin in Primary prevention (raised CRP)
(streptokinase OR tPA OR anistreplase) AND (aspirin + heparin OR aspirin alone) in Suspected acute MI
Pre-treatment with 30mg prasugrel before angiography. A further 30mg following angiography if felt appropriate for PCI. in NSTEMI
Abciximab in AMI for PCI
Carvedilol in Heart failure (EF
Enalapril in Heart failure (Stage IV)
Everolimus-eluting stent in Elective PCI for all reasons
Metoprolol AND/OR Clopidogrel in Suspected acute MI
Carvedilol OR Metoprolol in Heart failure (EF
Bisoprolol in Heart failure (Stage III or IV)
Candesartan +- ACEi in Heart failure (EF
Aspirin +/- Clopidogrel in SVG patency post CABG
Venovenous ultrafiltration in Heart failure with cardiorenal syndrome
Atorvastatin 10mg in T2DM
Ivabradine in CAD & LVF
PCI in Stable CAD
PCI or CABG in T2DM & IHD
Rivaroxaban 2.5/5mg in Recent ACS
Dronedarone 400mg BD in AF
PCI or CABG in 2 or 3VD
Apixaban in Atrial fibrilation
AF ablation (CPVA) in Paroxysmal AF
Chlorthalidone OR Amlodipine OR Lisinopril in Hypertension with cardiac RFs
Niacin in Cardiovascular disease
Rhythm vs. rate control in Atrial fibrillation
Benazepril plus amlodipine in Hypertension in High-Risk Patients
Low-dose Rosuvastatin (10mg) in CCF (EF
Clopidogrel in ACS (excluding STEMI)
Streptokinase OR Aspirin OR Both in Suspected acute MI
Revascularisation by CABG in CABG V. PCI in diabetics with multivessel disease
Atenolol (IV, then oral) in Suspected acute MI
Ezetimibe 10mg + Simvastatin 40mg in Recent acute coronary syndrome with raised LDL
Irbesartan in Diabetic nephropathy (T2DM)
Irbesartan in Heart failure (EF > 45; NYHA II+)
Bivalirudin (vs. UFH/GpIIbIIIa) & DES (vs. BMS) in Acute MI
Ramipril 10 +/- Vitamin E in CAD, stroke, PVD or DM
Heparin (70 U/kg) in Primary PCI for acute myocardial infarction
Alteplase OR Reteplase in Suspected acute MI
IV heparin OR recombinant hirudin in Suspected acute MI
Lisinopril OR GTN (IV->PO) OR both in AMI and preserved LVEF
Fractional Flow Reserve-Guided PCI in Stable Coronary Disease
Low/high dose clopidogrel & aspirin in ACS
Eplerenone in LV dysfunction post-MI
Ezetimibe (+simvastatin 80) in Familial hypercholesterolemia
Eplerenone in CCF (NYHA II & EF
Alteplase in Acute ischaemic stroke
rt-PA in Acute ischaemic stroke
Early surgery (
Insulin infusion then either insulin OR standard treatment in DM in acute MI
Insulin infusion, later SC insulin in DM in acute MI
Digoxin in CCF (EF
Diet modification in HTN (SBP
Warfarin (INR 2-3.5) in HF (LVEF