I have a strong family history of premature heart disease, bp is 135/90, ldl 130, non smoker. should i be treated for cholesterol lowering pill?

Not yet: There is not enough evidence to recommend that people like you take a statin for primary prevention at this time. Follow a heart healthy diet which is low in saturated fats and avoid concentrated sweets and reduce starches like pasta,potatoes,bread and rice. Keep your weight ideal and your blood pressure around 120/80. Regular exercise is advisable. Periodic treadmill stress test is advisable.

Depends on Particles: Cardiovascular (CVD) risk is related to the number of LDL particles (LDL-P). Because cholesterol in LDL particles is highly variable, cholesterol levels often disagree with particle number. When cholesterol and particle number disagree CVD risk tracks with LDL-P, not LDL-C. If an FDA cleared LDL-P test (i.e., NMR LipoProfile test) is elevated, further evaluation and treatment should be considered.