Question

A 58-year-old man with a history of type 2 diabetes and hypertension presents for cardiovascular risk assessment. He has no known cardiovascular disease. His LDL-cholesterol is 3.0 mmol/L, HDL-cholesterol 1.0 mmol/L, and total cholesterol 5.5 mmol/L. According to Canadian Cardiovascular Society dyslipidaemia guidelines, what is the most appropriate management of his lipids?

Accepted Answer

Start a moderate- to high-intensity statin regardless of calculated risk

Answer

Lifestyle modification only, repeat lipids in 5 years

Answer

Order a coronary CT angiogram before deciding on therapy

Answer

Recommend over-the-counter omega-3 supplements instead of statin

Answer

Start a PCSK9 inhibitor as first-line therapy

Practice question