When to prescribe statins (for the prevention of atherosclerotic cardiovascular disease)

Secondary prevention, in established ASCVD (ACS, angina, CABG, CVA, TIA, PAD):
Age up to 75 → high-intensity statin
Age over 75 → mod-intensity statin

Primary prevention:
LDL 190 mg/dL or greater → high-intensity statin
Age 40 or greater with diabetes mellitus
10-year ASCVD risk 20% or greater → high-intensity statin
10 year ASCVD risk less than 20% → mod-intensity statin
10-year ASCVD risk greater than 7.5-10% → moderate- or high-intensity statin

High intensity:
atorvastatin 40-80 mg
rosuvastatin 20-40 mg