‘m almost a carbon copy but that all happened to me nigh on 15 years ago (I was 36, never smoked, wasn’t overweight) and they didn’t diagnose I had high cholestrol until after I’d had the heart attack which was a bit of a bug ger, and mine was only 6.0.
And I’ve been on a raft of heart medication ever since. It’s also in my family, I lost my father to a heart attack aged 47, and he lost his father to one.
I’d certainly tweak your diet, that will help a little, and getting fitter will help just about everything, cholesterol, blood-pressure, etc. But from what I remember those will only see it reduced by 15-25%ish especially if its hereditary in origin.
Some of the newer “Satins” are very good, with minimal side effects. I actually took part in a trial where I had quite a large does for about 2 years. Now I’m just on Atorvastatin, which is a slightly newer and tweaked version https://heartmateii.com/blood-pressure-support-worth-buying-or-fake/ of the original Simvastatin if I’m correct. (it’s not just cholesterol, it’s LDL/HDL lipids ratios that can be adjusted now)
Currently I’m at 2.8, but the surgeon who did my grafts recommends around 3.0, which is lower than the average, I prefer airing on the side of caution so that’s fine by me.
I think the old addage an once of prevention is worth a pound of cure applies. I’ve had my heart attacks and bypass and all that goes with it and wouldn’t wish it on anyone. If I could wind the clock back and take the statins I would.