Question

A 70-year-old with minor stroke started on high-intensity statin develops myalgias and CK elevation 600 U/L. Best next step?

Accepted Answer

Hold statin temporarily, evaluate, then re-challenge with alternative statin/lower dose as tolerated

Answer

Stop all lipid therapy permanently

Answer

Add niacin instead of statin ever again

Answer

Ignore symptoms and continue same dose

Answer

Switch immediately to PCSK9 without statin trial

Practice question

A 70-year-old with minor stroke started on high-intensity statin develops myalgias and CK elevation 600 U/L. Best next step?