Question

A 62-year-old man had an ST-elevation myocardial infarction 6 months ago and is on maximally tolerated atorvastatin 80 mg daily. His fasting LDL cholesterol is 2.2 mmol/L and non-HDL cholesterol is 2.9 mmol/L. According to CCS guidelines, which is the best next step in lipid management?

Accepted Answer

Add ezetimibe to his high-intensity statin

Answer

Continue current therapy; his LDL is at goal

Answer

Switch from atorvastatin to a lower-intensity statin to reduce adverse effects

Answer

Stop statin and start a PCSK9 inhibitor as monotherapy

Answer

Add niacin to further lower his LDL cholesterol

Practice question

A 62-year-old man had an ST-elevation myocardial infarction 6 months ago and is on maximally tolerated atorvastatin 80 mg daily. His fasting LDL cholesterol is 2.2 mmol/L and non-HDL cholesterol is 2.9 mmol/L. According to CCS guidelines, which is the best next step in lipid management?