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