A 58-year-old smoker with dyslipidaemia but no known cardiovascular disease attends your clinic. His 10-year Framingham risk is calculated at 18%, LDL...

Question

A 58-year-old smoker with dyslipidaemia but no known cardiovascular disease attends your clinic. His 10-year Framingham risk is calculated at 18%, LDL cholesterol is 3.7 mmol/L, HDL 1.0 mmol/L and triglycerides 1.8 mmol/L. According to Canadian dyslipidaemia guidelines, what is the most appropriate next step?

Accepted Answer

Start moderate to high intensity statin therapy aiming for LDL below 2.0 mmol/L

Answer

Lifestyle advice only and repeat lipids in 5 years

Answer

Start low dose statin aiming for LDL below 3.5 mmol/L

Answer

Treat with ezetimibe alone

Answer

Recommend niacin as first line therapy

ca-mccqe1 MCQ (SBA): Dyslipidaemia primary prevention