By vgreene, 22 April, 2016 Start high-intensity statin1 + lifestyle [B] in pts w/ LDL–C ≥190 (not due to other causes)
By vgreene, 22 April, 2016 Labs: ✓ baseline fasting lipid panel,4 ✓ ALT, and if indicated ✓ CK. Eval/treat TG ≥500 mg/dL, unexplained ALT >3x ULN. Consider eval for secondary causes/conditions that may influence statin safety
By vgreene, 22 April, 2016 Daily statin dose: Atorvastatin 80 mg (or 40 mg),2 rosuvastatin 20 mg3 daily
By vgreene, 22 April, 2016 Repeat fasting lipid panel2 4-12wk after statin start (or modification), then q3-12mo
By vgreene, 22 April, 2016 If LDL–C reduction from baseline4 ≥50% (may consider absolute LDL–C # depending on comorbidities):5 Continue monitoring