I have been on a moderately high dose statin, 40 mg of Atorvastatin and 81 mg aspirin for three months. I have none of the standard risk factors and have been physically active my whole life (I'm 70). Thankfully, I have experienced no side effects from the statin and hope to change to a high-dose 80 mg dose of Atorvastatin at my next medical appointment. The 2018 AHA/ACC cholesterol guidelines suggest lowering LDL cholesterol as much as possible
("In patients with clinical ASCVD, reduce low-density lipoprotein cholesterol (LDL-C) with high-intensity statins or maximally tolerated statins to decrease ASCVD risk. Greater LDL-C reductions on statin therapy, leading to lower LDL-C levels, lower significant risk. Use a maximally tolerated statin to reduce LDL-C levels by ≥50%")
My genetic profile from 23andme shows a slightly increased risk for increased Lipoprotein A (SNP rs3798220 = normal; SNP 10455872 = likely elevated LpA.) I haven't had a test for Lp(A) because the horse is already out of the barn. Like others here, I have no exercise intolerance and am asymptomatic. My plan is to eat a more heart healthy diet (Mediterranean), continue to maintain physical activity levels, and address stress.