But My Blood Pressure is Normal!
Mr. O’Connor is a 52 year old man who has had type 2 diabetes for 7 years. Mr. O’Connor has calf claudication. He has a blood pressure of 120/75 mmHg.
What is the best approach for vascular protection for Mr. O’Connor?
Mr. O’Connor has end organ damage with macrovascular disease. CDA guidelines recommend therapy with:
Statin to target LDL ≤2.0 mmol/L
ACEi or ARB in doses that have been shown to have vascular protection
ASA (clopidogrel if intolerant to ASA)
Additional learning point: Use ACEi or ARB for vascular protection even in patients with normal blood pressure
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