Cardiovascular Prevention and Rehabilitation — Viva Defence

Opening statement (SASPOP, delivered aloud)

"Mr Halloran is a 62-year-old man four months into recovery from an NSTEMI treated with a drug-eluting stent to the LAD. His main problems are: established secondary-prevention pharmacotherapy now partly self-ceased, with statin-associated muscle symptoms that need structured assessment; ongoing smoking, the single largest modifiable driver of his next event; non-attendance at cardiac rehabilitation, which forfeits a mortality-reducing intervention; and an information problem — he is making decisions from internet material rather than from a conversation with us. I would like to restore the full secondary prevention bundle using a validated statin protocol, engage him with rehabilitation and smoking cessation, and rebuild his trust in the plan." ^{[1] [5]}