A 62-year-old man with a prior myocardial infarction (secondary prevention) has LDL cholesterol of 110 mg/dL on atorvastatin 80 mg daily. His lipid panel also shows elevated lipoprotein(a) [Lp(a)] at 85 nmol/L. Which agent should be added to further reduce cardiovascular risk in this very-high-risk patient?

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