Peter F. Cohn, MD, Editor-in-Chief, is chief of cardiology emeritus, Department of Medicine, State University of New York Health Sciences Center, Stony Brook.

The problem of managing acute myocardial infarction (MI) in elderly patients, especially in those patients with left ventricular dysfunction, has multiple components, not the least of which is to decide which class of agents to use first (angiotensin-converting enzyme [ACE] inhibitors, diuretics, β blockers, etc) and whether to use these agents alone or in combination with 1 or more of the other classes of drugs.