Question

A 48-year-old man with ASCVD and LDL 78 mg/dL on high-intensity statin and ezetimibe. TG 180 mg/dL. Which next step reduces ASCVD events?

Accepted Answer

Consider PCSK9 inhibitor if very high risk and LDL ≥70 mg/dL persists

Answer

Stop ezetimibe and add niacin

Answer

Add fibrate to lower TG

Answer

Add OTC fish oil

Answer

No change despite persistent LDL ≥70

Practice question

A 48-year-old man with ASCVD and LDL 78 mg/dL on high-intensity statin and ezetimibe. TG 180 mg/dL. Which next step reduces ASCVD events?