Question

A 64-year-old with T2D asks about aspirin for primary prevention. He has controlled BP and LDL, ASCVD risk 9%, no bleeding risk. Best advice?

Accepted Answer

Individualized discussion; net benefit small at 40-59 with >=10% risk; at 9% generally avoid

Answer

Start aspirin for all with diabetes

Answer

Start aspirin 325 mg

Answer

Start aspirin if CAC = 0

Answer

Aspirin indicated only at age >=60

Practice question

A 64-year-old with T2D asks about aspirin for primary prevention. He has controlled BP and LDL, ASCVD risk 9%, no bleeding risk. Best advice?