Question

A 62-year-old without ASCVD asks about aspirin to prevent first heart attack. Ten-year ASCVD risk is 12%, blood pressure and lipids are well controlled, and there is no diabetes or high bleeding risk. What should you recommend?

Accepted Answer

Do not initiate aspirin for primary prevention

Answer

Start aspirin 325 mg daily

Answer

Start aspirin 81 mg daily until age 70

Answer

Use clopidogrel instead of aspirin

Answer

Initiate aspirin only if CAC score >100

Practice question

A 62-year-old without ASCVD asks about aspirin to prevent first heart attack. Ten-year ASCVD risk is 12%, blood pressure and lipids are well controlled, and there is no diabetes or high bleeding risk. What should you recommend?