Which condition may warrant the use of a statin in a patient with a normal LDL level?

The use of a statin in a patient with a normal LDL level is primarily indicated in individuals who have a history of cardiovascular disease. Statins are lipid-lowering agents that not only reduce LDL cholesterol but also have additional benefits, including plaque stabilization, anti-inflammatory effects, and improving endothelial function. Patients with a history of cardiovascular events, such as myocardial infarction or stroke, are at a higher risk for future cardiovascular issues. Therefore, statin therapy is often recommended to help lower the risk of subsequent events, regardless of their current LDL cholesterol levels.

In the context of other conditions listed, while obesity and hypertension can contribute to cardiovascular risk, they do not independently justify the initiation of statin therapy in the absence of other risk factors or established cardiovascular disease. Recent surgery typically would not warrant the use of statins unless there are specific indications related to cardiovascular risk management associated with the surgical procedure.