It's important to note that there's geographic variability in guidelines. Also, the article doesn't give enough information about the author's other risk factor

It's important to note that there's geographic variability in guidelines. Also, the article doesn't give enough information about the author's other risk factors. For a similar patient (based on the initial lab results), treated by a doctor adhering to the European guidelines, at least the following items would have been considered: - Lipid lowering drugs - ApoB testing - Coronary CT (if the pre-test likelihood of obstructive coronary artery disease was estimated to be > 5%) - Diabetes tests - Kidney tests