§No RCTs included only individuals with LDL–C ≥190 mg/dL. However, many trials did include individuals with
LDL–C ≥190 mg/dL and all of these trials consistently demonstrated a reduction in ASCVD events. In addition, the
CTT meta-analyses have shown that each 39 mg/dL reduction in LDL–C with statin therapy reduced ASCVD events
by 22%, and the relative reductions in ASCVD events were consistent across the range of LDL–C levels. Therefore,
individuals with primary LDL–C >190 mg/dL should be treated with statin therapy.