Joanne is a 60-year-old patient with an LDL of 132 and a family history of coronary artery disease. She has already tried diet changes (increased fiber and plant sterols) to lower her LDL and after 6 months her LDL is slightly higher. The next step in her treatment would be:

A. A statin

B. Niacin

C. Sterols

D. A fibric acid derivative

The correct answer is option A. "A statin".

Explanation:

Statins a type of drug that are prescribed to treat people that are at high risk of developing a cardiovascular disease. Since Joanne is a person with history of coronary artery disease and her LDL levels remained high after trying diet changes, the next step in her treatment will be to take a statin drug. It has been proved that statin are among the most effective drug at lowering LDL levels, therefore, a treatment with a statin will be effective for Joanne's condition.

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