A 61-year-old male with prior MI and LDL‑C 78 mg/dL on high‑intensity statin and ezetimibe asks about further LDL lowering. What is appropriate?...

Question

A 61-year-old male with prior MI and LDL‑C 78 mg/dL on high‑intensity statin and ezetimibe asks about further LDL lowering. What is appropriate?

Accepted Answer

Consider adding a PCSK9 inhibitor to reach LDL‑C

Answer

Switch to moderate‑intensity statin

Answer

Add niacin

Answer

Stop ezetimibe because LDL‑C

Answer

No additional therapy is ever indicated

moderate MCQ (SBA): ASCVD