Stroke - Lipids
Considerations
a. Stroke Metrics
- atorva 40 is considered moderate, and atorva 80 is considered high dose statin
- besides atorva and rosuvastatin, none of the other statins will count even ezetimibe or evolocumab for the stroke metrics
b. IPH
- avoid prescribing statins, they can worse bleeding
Atorvastatin
10 mg/d - no stroke and LDL at goal, or stroke and low LDL
20 - 40 mg/d - stroke and LDL is at goal
80 mg/d - stroke and LDL high or undefined
Rosuvastatin
20 mg/d conversion to atorvastatin 40 - 80 mg/d
40 mg/d is theoretically superior to atorva 80 mg/d
*If the patient is taking rosuvastatin, do not convert rosuvastatin to atorva, continue his home rosuvastatin