system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
In an established case of coronary aery disease post MI which of the following drug will not prolong life expectancy?
assistant
The correct answer is  After STEMI post-MI the LV undergoes changes in size, shape, and thickness called ventricular remodeling. This is reduced by ACE inhibitors, ARBs Statins administered at dose of Atorvastatin 80 mg provides long-term moality benefits Aspirin used daily reduces the incidences of clinical events and improve survival Other antiplatelet agents like clopidogrel, abciximab, tirofiban, and eptifibatide also improve survival No evidence that nitrates improve survival in myocardial infarction Trials Showing Improvement in Moality in Post Ml ACE inhibitors SMILE, GISSI and ISIS4 trial ARB VALIANT Spironolactone RALES