DF is a 45-year-old man who suffered a non-ST segment elevation myocardial infarction one month ago, and had a stent placed in his distal left anterior descending artery. He has a history of hypertension and diabetes, and an echocardiogram after the myocardial infarction revealed no wall motion abnormalities, and a normal ejection fraction. Prior to this hospitalization, he was on glipizide 10 mg BID, metformin 500 mg BID, aspirin 81 mg every day, vitamin E 400 IU every day, hydrochlorothiazide 25 mg every day, and atorvastatin 10 mg every day His discharge medications consisted of the above medications, plus metoprolol 50 mg BID and clopidogrel 75 mg every day (for stent patency), and the atorvastatin was increased to 40 mg every day. You see DF one month after his hospital discharge when he presents for routine follow-up. Pertinent labs include serum creatinine = 1.0 mg/dl, potassium = 4.3 mEq/L, HbA1c = 6.8%, LDL-C = 85 mg/dl, and his BP is 135/85 mm Hg, and HR = 72 BPM. Which one of the following changes should be made to DF's medication regimen today?
(A) increase aspirin to 325 mg
(B) add ramipril 10 mg every day
(C) increase metoprolol to 100 mg BID
(D) increase atorvastatin to 80 mg every day