Question

A 58-year-old man with no known cardiovascular disease attends for a periodic health examination. He is a non-smoker with LDL-C 3.6 mmol/L, HDL-C 1.0 mmol/L, blood pressure 132/80 mm Hg, and 10-year ASCVD risk of 17%. According to the 2021 CCS dyslipidaemia guideline, what is the most appropriate lipid management strategy?

Accepted Answer

Initiate statin therapy targeting LDL-C reduction of >=50% and LDL-C <2.0 mmol/L

Answer

No statin is indicated because LDL-C <4.0 mmol/L

Answer

Initiate high-intensity statin aiming for LDL-C <1.0 mmol/L regardless of risk

Answer

Recommend lifestyle modification only and recheck in 5 years

Answer

Use fibrate monotherapy as first-line lipid-lowering drug

Practice question