Question

A 50-year-old man with no cardiovascular history is found to have LDL-C 5.6 mmol/L and total cholesterol 7.8 mmol/L. His 10-year Framingham risk is calculated at 8%. According to the 2021 Canadian Cardiovascular Society dyslipidaemia guideline, which management is most appropriate?

Accepted Answer

Initiate high-intensity statin aiming for >=50% LDL-C reduction and LDL-C <2.0 mmol/L

Answer

Lifestyle modification only; repeat lipids in 5 years

Answer

Initiate moderate-intensity statin aiming for LDL-C <3.5 mmol/L

Answer

Order coronary CT angiography before prescribing statins

Answer

Begin ezetimibe monotherapy without statin

Practice question

A 50-year-old man with no cardiovascular history is found to have LDL-C 5.6 mmol/L and total cholesterol 7.8 mmol/L. His 10-year Framingham risk is calculated at 8%. According to the 2021 Canadian Cardiovascular Society dyslipidaemia guideline, which management is most appropriate?