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"coronary heart disease"

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Patient Discussion: Treatment
You suggest to this patient that they discuss the possibility of adding an ACEI to his current medications. In order to do this, you review with him a patient guide titled, “ACE Inhibitors” and “ARBs” To Protect Your Heart? A Guide for Patients Being Treated for Stable Coronary Heart Disease, from the Effective Health Care Program website at: http://effectivehealthcare.ahrq.gov. You explain to him that the guide is based on a review of multiple studies about specific medications for patients with stable ischemic heart disease.
Patient Discussion. 
At this point in the discussion you explain to him that this medication is being given in order to reduce the risk of future cardiac events even further than if he was only taking his usual medication. You counsel the patient to call you immediately if he experiences any of the adverse effects such as swelling of the lips or mouth area, which could indicate the patient has developed angioedema. You give him his own copy of the consumer guide titled, “ACE Inhibitors” and “ARBs” To Protect Your Heart? A Guide for Patients Being Treated for Stable Coronary Heart Disease, to take home with him to review and keep these important adverse effects in mind.
Patient Discussion. 
The patient asks about the source of the information that you have given him, and you explain it is a summary of a large analysis done at a university that included many studies on the benefits and harms of adding an ACEI and/or ARB to standard therapies for patients with stable ischemic heart disease and preserved LVSF. This information was summarized in a way that would allow patients to make decisions with their doctors regarding their course of treatment. You counsel him to take this guide (“ACE Inhibitors” and “ARBs” To Protect Your Heart? A Guide for Patients Being Treated for Stable Coronary Heart Disease) home to share with his family, refer to it from time to time to remind him why he's taking the drugs, and refer to it for descriptions of the adverse effects. After this discussion, you and your patient determine that the decreased risk of nonfatal heart attack, stroke, and death are worth the risk of possibly getting a cough, high levels of potassium, or suddenly fainting.
Adverse Events from ACEIs
This patient is sent home with his medications and the consumer summary guide (“ACE Inhibitors” and “ARBs” To Protect Your Heart? A Guide for Patients Being Treated for Stable Coronary Heart Disease),  which he can continue to refer to in the event of questions. In six weeks, he returns to your office with a dry persistent cough that keeps him up at night. He has been referring to the consumer summary guide and wonders if there are any other drugs he can take to help him.

Background: Prevalence and Burden of Coronary Artery Disease