Question

A 55-year-old on high‑intensity statin has fasting triglycerides 480 mg/dL, LDL‑C 78 mg/dL. No ASCVD. What is the next best step?

Accepted Answer

Lifestyle and glycemic optimization; consider omega‑3 to reduce TG and pancreatitis risk

Answer

Add a fibrate to reduce ASCVD risk

Answer

Add omega‑3 ethyl esters (EPA) for pancreatitis prevention

Answer

Intensify statin to lower triglycerides further

Answer

Add niacin

Practice question

A 55-year-old on high‑intensity statin has fasting triglycerides 480 mg/dL, LDL‑C 78 mg/dL. No ASCVD. What is the next best step?