A Case of Residual CVD Risk • July 2010—clinic visit – Known CAD (preclinical) – BMI 27 kg/m2 – Statin compliant – LDL-C 67 mg/dL; Triglycerides 300 mg/dL; HDL-C 32 mg/dL – Treadmill ECG: achieved target heart rate w/o angina/ ischemia • September 2010—sudden death – AMI and collapse at work – Attempts to resuscitate fail • How could this have been avoided?