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A 10-year ASCVD risk calculation is necessary to begin the prescription of statin therapy for which of the following groups?

a) Patients with a history of ASCVD and LDL-C greater than 190 mg/dL.

b) Patients with a history of ASCVD and diabetes.

c) Patients with diabetes and LDL-C greater than 190 mg/dL.

d) Patients with LDL-C greater than 190 mg/dL.

Answer :

A 10-year ASCVD risk calculation is necessary to begin preseription of statin therapy for d) Patients with LDL-C greater than 190mg/dL

The 10-year ASCVD (Atherosclerotic Cardiovascular Disease) risk calculation is typically used to guide statin therapy for patients without a known history of ASCVD or a high LDL-C level. Patients with LDL-C levels greater than 190 mg/dL, regardless of other risk factors, should already be considered for statin therapy without needing a 10-year ASCVD risk calculation.

New cholesterol management guidelines suggest that if a person’s long-term risk for having a heart attack or stroke is low, statins are not usually needed unless LDL cholesterol levels are above 100 mg/dL.

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