Q. A 55-year-old woman comes to the clinic for a lipid panel screening. She reports a family history of early coronary artery disease, with her mother having experienced a myocardial infarction at 50 years of age. She mentions her elder sister suffered a stroke recently at 59 years old. Her current medications include metformin for type 2 diabetes and amlodipine for hypertension.
On physical examination, her vitals are stable, and her blood pressure is well-controlled.
Her recent blood tests reveal an LDL cholesterol level of 195 mg/dL. She has no cardiovascular events but is concerned about her increasing age and family history. She inquires if she should start or modify medications to address her lipid profile.
What is the most appropriate next step in the management of this patient?