Q. A 56-year-old woman with a family history of cardiovascular diseases comes to the physician’s clinic for a routine check-up. She reports occasional chest discomfort during heavy exercise but otherwise feels well. She has no history of hypertension, diabetes, or hyperlipidemia.
Physical examination reveals no significant findings. An EKG is normal, but her cholesterol panel shows a total cholesterol of 240 mg/dL, LDL of 160 mg/dL, HDL of 40 mg/dL, and triglycerides of 150 mg/dL.
What is the most appropriate next step in the management of this patient?