Interested in opinions on the management of LDL of 3.2 mmol/L with a pathology range ( 1.7-3.5mmol/L) in a 27 year old with PCOD and family history of sudden cardiac death under 60 yrs.
It would be important to know what their situation is with respect to mayor cardiovascular Risk factors and emerging risk factors (HCys, cPCR, Lp (a)). The existence of insulin resistance (Does she have?) and other components of the cardiometabolic syndrome is possible. The whole situation could lead to a high or very high risk of cardiovascular disease, and if this is the case, It would be advisable treatment with lipid lowering drugs (mainly statins) in order to achieve a concentration of LDL cholesterol below 100 mg/dl or lower even if the situation is very high risk.
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