Question

A 49-year-old without ASCVD or diabetes has LDL-C 150 mg/dL and 10-year ASCVD risk 9%. He is reluctant to start a statin. CAC score is 0. According to cholesterol guidelines, what is reasonable?

Accepted Answer

Withhold statin and reassess risk later

Answer

Initiate high-intensity statin now

Answer

Start ezetimibe monotherapy

Answer

Order carotid ultrasound instead of CAC

Answer

Start aspirin 81 mg for primary prevention

Practice question

A 49-year-old without ASCVD or diabetes has LDL-C 150 mg/dL and 10-year ASCVD risk 9%. He is reluctant to start a statin. CAC score is 0. According to cholesterol guidelines, what is reasonable?