A 70-year-old man is admitted with non-cardioembolic ischaemic stroke. He has no contraindication to statins and his pre-stroke LDL cholesterol was 3....

Question

A 70-year-old man is admitted with non-cardioembolic ischaemic stroke. He has no contraindication to statins and his pre-stroke LDL cholesterol was 3.4 mmol/L. According to current guidelines, what is the most appropriate lipid-lowering strategy for secondary prevention?

Accepted Answer

Commence high-intensity statin therapy such as atorvastatin 40-80 mg daily

Answer

No statin therapy is required because his LDL is only mildly elevated

Answer

Commence low-dose simvastatin 10 mg nightly

Answer

Use diet and exercise alone

Answer

Commence ezetimibe monotherapy without a statin

au-racp MCQ (SBA): Secondary prevention after ischaemic stroke

A 70-year-old man is admitted with non-cardioembolic ischaemic stroke. He has no contraindication to statins and his pre-stroke LDL cholesterol was 3.4 mmol/L. According to current guidelines, what is the most appropriate lipid-lowering strategy for secondary prevention?