Question

A 59-year-old woman with no known cardiovascular disease has an LDL cholesterol of 5.4 mmol/L and non-HDL cholesterol of 6.2 mmol/L on fasting lipids. She is a non-smoker, with blood pressure 128/76 mm Hg and no diabetes. According to the CCS dyslipidaemia guideline, what is the most appropriate management?

Accepted Answer

Start a statin because LDL >=5.0 mmol/L is a statin-indicated condition

Answer

Provide lifestyle advice only and repeat lipids in 5 years

Answer

Order a coronary artery calcium score before deciding on statin therapy

Answer

Offer statin only if her 10-year Framingham risk is >=20 percent

Answer

Order advanced lipoprotein testing and defer treatment decisions

Practice question