Question

A 62-year-old man without diabetes or ASCVD has a 10‑year ASCVD risk of 9%. He asks about aspirin for primary prevention. What do you advise?

Accepted Answer

Avoid initiating aspirin because benefits are small and bleeding risk offsets benefit

Answer

Start aspirin 81 mg daily routinely

Answer

Use aspirin 325 mg daily for greater effect

Answer

Start aspirin only if LDL <70 mg/dL

Answer

Use aspirin if hs‑CRP >2 mg/L

Practice question

A 62-year-old man without diabetes or ASCVD has a 10‑year ASCVD risk of 9%. He asks about aspirin for primary prevention. What do you advise?