By vgreene, 23 January, 2020 If HFrEF from ischemic heart dz w/ reasonable life expectancy (eg, 3-5y) and not on statin: Consider mod-intensity statin, per ACC/AHA1
By vgreene, 23 January, 2020 If not very high risk1 ASCVD High intensity statin if not tolerated then mod intensity If LDL C 70 on max tolerated statin add on ezetimibe may be reasonable per ACC AHA
By vgreene, 23 January, 2020 If very high risk1 ASCVD High intensity max tolerated statin If LDL C 70 on max tolerated statin add on ezetimibe reasonable If LDL C 70 or non HDL C 100 despite max tolerated statin ezetimibe reasonable to discuss add on PCSK9i 1 per ACC AHA in pts w DM
By vgreene, 23 January, 2020 Use high intensity max tolerated statin to darr LDL C by 50 for secondary prevention in ASCVD1 pts per ACC AHA 1 AACE ACE specifies target LDL C for pts at extreme and very high risk 2 and ADA concurs w statins for secondary prevention 3 Heart healthy lif