Question

A 59-year-old with stable angina has LDL 78 mg/dL on high-intensity statin. He asks whether to add ezetimibe for primary prevention. ASCVD risk 8%. What do guidelines advise?

Accepted Answer

No nonstatin needed if at goal LDL and primary prevention

Answer

Add ezetimibe routinely

Answer

Add ezetimibe only if secondary prevention targets unmet

Answer

Switch to PCSK9 inhibitor

Answer

Add niacin

Practice question

A 59-year-old with stable angina has LDL 78 mg/dL on high-intensity statin. He asks whether to add ezetimibe for primary prevention. ASCVD risk 8%. What do guidelines advise?