A 63-year-old man with a prior ST-elevation myocardial infarction two years ago is seen in clinic. He has no angina and exercises regularly. His LDL c...

Question

A 63-year-old man with a prior ST-elevation myocardial infarction two years ago is seen in clinic. He has no angina and exercises regularly. His LDL cholesterol is 2.4 mmol/L on atorvastatin 20 mg at night. According to current Canadian dyslipidaemia guidelines, what is the most appropriate lipid-lowering strategy?

Accepted Answer

Increase to high-intensity atorvastatin 40-80 mg

Answer

Continue atorvastatin 20 mg as current therapy is sufficient

Answer

Stop statin and start ezetimibe monotherapy

Answer

Add a fibrate to current statin therapy

Answer

Switch to low-intensity pravastatin 10 mg daily

ca-mccqe1 MCQ (SBA): Secondary prevention dyslipidaemia