How early do you implement PCSK9 inhibitor therapy for stroke patients with very high-risk ASCVD?

For me, it depends case by case. If the patient is statin naive or on a suboptimal dose with above goal LDL and TAG, I will start a statin or increase statin dose/intensity, respectively, with lifestyle and diet changes, and evaluate the trajectory of the parameters in 6 months to see if they are he...