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Primary hypercholesterolemia — ABFM Board MCQ

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EasyCardiovascularPrimary hypercholesterolemiaABFM Board

A 48-year-old man establishes care after an insurance physical. He does not smoke and has no diabetes. His LDL cholesterol is 206 mg/dL on repeat fasting lipid panel; triglycerides are 130 mg/dL. Which of the following would you advise this patient?

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Correct answer: A — Start high-intensity statin therapy

An LDL cholesterol level of at least 190 mg/dL is a major statin benefit group and should be treated with high-intensity statin therapy regardless of calculated 10-year risk.

Reference: ACC/AHA Primary Prevention Guideline: https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2019/03/07/16/00/2019-acc-aha-guideline-on-primary-prevention-gl-prevention