Question

A 68-year-old woman with TIA-like symptoms is ruled out for stroke. Her LDL-C is 88 mg/dL on maximally tolerated statin. She has clinical ASCVD. What is the next lipid-lowering step?

Accepted Answer

Add ezetimibe to achieve LDL-C <70 mg/dL

Answer

No change; LDL <100 mg/dL is sufficient

Answer

Add niacin

Answer

Switch to low-intensity statin and add fibrate

Answer

Stop statin due to age

Practice question

A 68-year-old woman with TIA-like symptoms is ruled out for stroke. Her LDL-C is 88 mg/dL on maximally tolerated statin. She has clinical ASCVD. What is the next lipid-lowering step?