A 60-year-old man with type 2 diabetes, diagnosed 5 years ago, attends for review. He has no known cardiovascular disease but is an ex-smoker with tre...

Question

A 60-year-old man with type 2 diabetes, diagnosed 5 years ago, attends for review. He has no known cardiovascular disease but is an ex-smoker with treated hypertension. His calculated 5-year absolute cardiovascular risk is 18%. His LDL-cholesterol is 3.2 mmol/L. According to Australian CVD risk guidelines, what is the most appropriate lipid-lowering strategy?

Accepted Answer

Commence a moderate- to high-intensity statin

Answer

Lifestyle modification only, with repeat lipids in 12 months

Answer

Start ezetimibe monotherapy

Answer

Start a fibrate as first-line therapy

Answer

No pharmacological treatment until LDL-cholesterol exceeds 4.0 mmol/L

au-amc MCQ (SBA): Cardiovascular risk and hyperlipidaemia