A 62-year-old man asks about aspirin to prevent heart attack. He has well-controlled hypertension and a 10-year ASCVD risk of 16%. No CAC score availa...

Question

A 62-year-old man asks about aspirin to prevent heart attack. He has well-controlled hypertension and a 10-year ASCVD risk of 16%. No CAC score available. What is the best advice?

Accepted Answer

Recommend against initiating aspirin for primary prevention

Answer

Start aspirin 81 mg daily now

Answer

Aspirin only if CAC score >100

Answer

Begin dual antiplatelet therapy for one month

Answer

Aspirin 325 mg enteric-coated daily

us-abfm MCQ (SBA): Primary Prevention (Aspirin)

A 62-year-old man asks about aspirin to prevent heart attack. He has well-controlled hypertension and a 10-year ASCVD risk of 16%. No CAC score available. What is the best advice?