Question

A 62-year-old with prior MI and LDL‑C 190 mg/dL before therapy is on high‑intensity atorvastatin 80 mg daily. LDL‑C is now 85 mg/dL. What is the next step for additional LDL‑C lowering per US consensus?

Accepted Answer

Add a PCSK9 inhibitor if LDL‑C remains ≥70 mg/dL after ezetimibe

Answer

Switch to pravastatin 40 mg

Answer

Add niacin

Answer

No change because LDL‑C <100 mg/dL

Answer

Stop statin due to low LDL‑C

Practice question

A 62-year-old with prior MI and LDL‑C 190 mg/dL before therapy is on high‑intensity atorvastatin 80 mg daily. LDL‑C is now 85 mg/dL. What is the next step for additional LDL‑C lowering per US consensus?