12 months post heart attack - medication review?

[Alb23]

Recently had a brief telephone conversation with Consultant regarding MRI to check on heart viability and thrombus following a heart attack 12 months ago. Summary:

No sign of thrombus. EF improved from 40-45% to 71% with normal volume and mass. Signs of LAD infarction. 1 non viable segment.

Consultant stated that Apixaban and Clopidogrel could be replaced with simple aspirin. I have requested a medication review with the GP practice and telephone call arranged with practice pharmacist - not seen a GP since the heart attack.

Realise everyone is slightly different but interested in if there is a ‘standard suite’ of medication. Keen to reduce the medication as much as possible. Suffer from fatique particularly in the morning.

Current medication includes: atorvastatin 80 mg; ramipril; bisoprolol; eplerenone; lansoprazole plus the anti coagulant and anti platelet.

Anyone else had a large increase in ejection fraction.

Thanks for reading.

[Hidden]

What you haven't told us is whether you are still under the care of the cardiologist or whether you are now effectively discharged to the care of the GP. It is my understanding that your cardiologist will take precedence over the GP, with the GP only making minor adjustments to medication against the the specialist's instructions. But that changes if your care is finally delegated to the GP. Certainly in the past my GP would not go outside the broad parameters laid down by a specialist when I was still under their care, and was not prepared to change something without seeing anything in writing from the specialist. Finally, what do the notes of your consultation say ?

[Alb23 in reply to Hidden]

Thanks for the reply. Copy of letter to GP received this morning simply stated the Ejection Fraction of 71%. No LV Thrombus and the none viability of one segment. Normal mass and volumes. Previously requested a copy of the report and the Consultants secretary said they don't issue them!

Now under the GP. On line prescription notes state that a 12 month review is required.

I am trying to assess the likelyhood of reducing or stopping meds such as the beta blockers in the future or the prospect they are indefinite.

[Hidden in reply to Alb23]

I share your sentiments regarding reducing medication to the minimum necessary for your continued wellbeing. However I can only suggest the person best placed to decide on what is best for you is your GP, who has access to all of your medical history and is qualified to decide. Whilst there is some commonality of approach in prescribing there does not appear to be a one size fits all for many conditions especially since we are all different given age, medical conditions, gender, physical situation etc etc .

[Alb23]

thanks again, all duly noted.