Question

A 66-year-old woman with a history of myocardial infarction presents for routine review. Her medications include acetylsalicylic acid, ramipril, and metoprolol. Her fasting lipid panel shows LDL-C 2.8 mmol/L, HDL-C 1.0 mmol/L, triglycerides 1.4 mmol/L. According to the 2021 Canadian Cardiovascular Society dyslipidaemia guideline, what is the most appropriate lipid-lowering strategy?

Accepted Answer

Initiate high-intensity statin therapy aiming for LDL-C <1.8 mmol/L or >=50% reduction

Answer

No statin therapy is indicated because LDL-C is less than 3.5 mmol/L

Answer

Initiate moderate-intensity statin therapy aiming for LDL-C <2.0 mmol/L

Answer

Add ezetimibe monotherapy without statin

Answer

Order coronary CT angiography before deciding on statin therapy

Practice question