1. A 56 years old African American gentleman was admitted to the ER with chest pain. He described the pain as retrosternal and crushing in nature. An EKG done at the time showed coving ST Elevations in V1 to V3 and T wave inversions. He was wheeled into the coronary care unit and was thrombolysed successfully. Which of the following statements regarding his further management is false?

1. Starting him on Aspirin and low molecular weight heparin
2. Ordering a fasting lipid profile to check for LDL which is a cardiac risk marker
3. Starting him on cardiac friendly and lipid lowering diet and exercise
4. Starting him on Atorvastatin 40 mg daily irrespective of his LDL levels.

Answer:  This gentleman has an acute STEMI and has been successfully treated. Several studies have shown benefits of statins in acute coronary syndrome setting irrespective of the cholesterol levels. Therefore the correct answer is (d).