5th February 2024

A 65-year-old lady with a history of hypertension presents for a follow-up appointment for cardiovascular risk management.

A 65-year-old lady with a history of hypertension presents for a follow-up appointment for cardiovascular risk management. She denies any history of cardiovascular events. Her cholesterol levels have been raised. The patient has been reluctant to start statin therapy because she worries about myalgia as a possible side effect. Her calculated 10-year risk of major cardiovascular events is 20%.

Which of the following would be the next best step in this patient’s cardiovascular risk management?