Secondary prevention recommendations Gao Lijian, Department of Cardiovascular Medicine, Fu Wai Hospital, Beijing, China Grading Evidence level I Ⅱa Ⅱb Ⅲ Smoking cessation X C Ideal glycemic control in diabetic patients X B BP control in hypertensive patients X C Mediterranean diet X B Supplementation with 1 g of fish oil n-3 polyunsaturated fatty acids X X B Aspirin: 75-160 mg/day X A Clopidogrel if aspirin is intolerable (75 mg/day) X C Oral Anticoagulants X B No contraindications Oral beta-blockers in all patients X A Continuous ACEI from day 1 (Table 3.6) X A Statin: if diet is not taken into account X A Total cholesterol >190 mg/dL (5.06 mmol/L) and/or LDL-C >115 mg/dL (2.98 mmol/L) Calcium channel blockers (diltiazem or verapamil). If contraindicated with beta-blockers and no heart failure X B Nitrates for no angina symptoms X A