33 y/o male with a history of typ 1 diabetes (insulin dependent) and exertional

Question

33 y/o male with a history of typ 1 diabetes (insulin dependent) and exertional angina. His current medications include insulin, nitroglycerin SL prn chest pain, and atenolol. Should this pt. receive daily antiplatelet therapy for stroke prevention?

Yes. This pt meets criteria for primary stroke prevention and has no contraindications against the use of antiplatelets.

Yes. This pt. meets criteria for secondary stroke preveention and has no contraindications against the use of antiplatelets.

No. This pt meets criteria for primary stroke prevention; however, antiplatelets are contraindicated in this pt.

No. This pt meets criteria for secondary stroke prevention; however, antiplatelets are contraindicated in this pt.

No. This pt does not meet criteria for either primary or secondary stroke prevention. He has no risk factors for developing stroke; therefore, antiplatelet therapy is not needed.

Explanation / Answer

A. None of the mess are contraindicated and the pt has the appropriate risk factors including exercional angia.

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