Hi Movie Maker..
Your cholesterol numbers are bad...but not much worse than average. At 5'9 and 240# you are the magic word: (I apologise in advance) OBESE.
Your worst number, the ratio of Total Cholesterol to High density lipoprotein is 257/50 = 5.1. This should be below 4.
A big heads up is the CHEST PAIN = HEART BURN diagnosis...I got it often: Mine was REALLY heart disease. Add that to your sleep apnea and the net is that you MUST do a few things.
Take the statin for awhile and see how you feel and see if it gets your TC and LDL down.
Maybe toss the "chaw."
ps...that "ok" EKG is really NO guarantee against heart disease, it really isn't.
Can you run a mile in 12 minutes?...better yet, 1.25 miles? When's the last time you tried.
I wish you the best, Kevin. (And lose 60 pounds

)