Table 1.

Components of Optimal Medical Therapy (OMT).

Blood pressure control: BP < 140/90 mm Hg (lower for patients with diabetes mellitus or chronic kidney disease where the target BP < 130/80 mm Hg) LDL-cholesterol control: Through life-style changes and medication therapy with LDL goal <2 mmol/L (100 mg/dL) For patients with diabetes mellitus, hyperglycemia control: Indicated by a hemoglobin A1c <7.0% Absence of cigarette smoking and minimized exposure to environmental tobacco smoke Adequate physical activity: Consisting of aerobic physical activity of moderate exertion occurring 30 min/d on most days of the week Adequate adherence to cardiac medications: An antiplatelet agent, usually aspirin, sometimes combined with clopidogrel in the case of percutaneous coronary intervention (PCI). The latter for 1-y duration Lipid-lowering agents, beta-blockers, and either an ACE inhibitor or ARB