How Would You Treat This Asymptomatic Patient With Elevated CRP?

A 52-year-old male presents to the clinic for routine follow-up. As part of the evaluation, he undergoes an assessment of cardiovascular risk. His past medical history is notable for hypertension (treated) and increased cholesterol (currently untreated).

Recent testing demonstrated a total cholesterol of 203 mg/dL with an HDL of 48 mg/dL. Systolic blood pressure today is 133 mmHg. His calculated Framingham Risk Score is 12, resulting in an estimated 10 year risk of Cardiovascular disease of 10% (intermediate risk). His physician decides to measure C Reactive protein (CRP) to assist in further risk stratification.

The CRP returns at 13 mg/L. He is then referred to you for further care.

What would be your next step?

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