5th February 2024

A 66-year-old man presents four months after having drug-eluting stents placed in his left anterior descending artery and left circumflex artery following a myocardial infarction (MI).

A 66-year-old man presents four months after having drug-eluting stents placed in his left anterior descending artery and left circumflex artery following a myocardial infarction (MI). He has a known history of hypertension. His ejection fraction was 55%. His medication history includes atorvastatin 40mg OD, aspirin, ticagrelor, metoprolol and lisinopril.

His vital signs were: BP 125/85mmHg, heart rate 60bpm and regular, respiratory rate 16 breaths per minute, temperature 36.8 degrees Celsius. Body mass index (BMI) was 29. The rest of his physical examination was unremarkable.

The lipid profile performed showed:

• Total cholesterol 167mg/dl
• HDL 42mg/Dl
• LDL 87mg/Dl
• Triglyceride 110mg/dl

What is the next best step in this patient’s lipid management?