Which of the following is listed among home medications after ACS for cardiovascular risk reduction?

• A. Statin
• B. Insulin
• C. Proton pump inhibitor
• D. Antibiotic

Answer: (D)

Statin therapy is the primary medication for reducing future cardiovascular risk after an acute coronary syndrome. Lowering LDL cholesterol helps stabilize atherosclerotic plaques, reduces inflammation, and lowers the chance of recurrent heart attacks or death. This is why high‑intensity statins are routinely started or continued after ACS, such as atorvastatin or rosuvastatin at high doses. Insulin is reserved for patients with diabetes or significant hyperglycemia and isn’t used universally for post‑ACS risk reduction. Proton pump inhibitors may be used for GI protection with antiplatelet therapy but don’t directly reduce cardiovascular risk. Antibiotics do not impact atherosclerosis or post‑ACS outcomes.