What is the recommendation for use of aldosterone blockade in post myocardial infarction patients without significant renal dysfunction or hyperkalemia?
The recommendation for use of aldosterone blockade in post myocardial infarction patients without significant renal dysfunction or hyperkalemia is to use it in patients who are already receiving therapeutic doses of an ACE inhibitor and -blocker, who have a left ventricular ejection fraction 40%, and who have either diabetes or heart failure.136,137 (Level of Evidence: A)