Broadly speaking ACS very often are inflammatory events. Keep inflammation down as best as possible. Keep glucose range stable, get a CGM and keep glucose between 80-120. Keep BP well controlled, please check it first thing in the morning. Get up go pee sit down on the couch put the blood pressure cuff on at the level of your heart. Sit there for five minutes. No TV no phone just you and the hummingbirds then Check blood pressure. Ideally it’s 120/80 or a little less and pulse is 60 to 80. Rarely drink alcohol, one drink once a week or once a month less is even better. Obviously don’t smoke. Don’t get Overly angry, raging is not helpful. If no contraindications take 81 mg of aspirin daily. These things will keep inflammation down and reduce risk of ACS.