Question

A 55-year-old man without cardiovascular disease, diabetes or chronic kidney disease has an LDL-C of 4.2 mmol/L and total cholesterol/HDL ratio of 6.2. His 10-year Framingham risk is calculated at 18%. According to Canadian dyslipidaemia guidance, which management is most appropriate?

Accepted Answer

Start high-intensity statin therapy for primary prevention

Answer

Lifestyle advice only and repeat lipids in 3 years

Answer

Order coronary CT angiography to guide statin use

Answer

Begin aspirin plus moderate-intensity statin

Answer

Defer any treatment until LDL-C exceeds 5.0 mmol/L

Practice question

A 55-year-old man without cardiovascular disease, diabetes or chronic kidney disease has an LDL-C of 4.2 mmol/L and total cholesterol/HDL ratio of 6.2. His 10-year Framingham risk is calculated at 18%. According to Canadian dyslipidaemia guidance, which management is most appropriate?