Question

A 70-year-old man with ischaemic heart disease and diabetes asks about aspirin for primary prevention of cardiovascular events. His 5-year CVD risk is 12% but he has had no prior MI or stroke. According to current Australian CVD guidelines, what is the recommendation for aspirin in primary prevention?

Accepted Answer

Aspirin may be considered only in selected very high-risk individuals after careful bleeding risk assessment

Answer

Aspirin is routinely recommended for all adults over 50

Answer

Aspirin is recommended for anyone with diabetes

Answer

Aspirin should be given if 5-year CVD risk is above 10%

Answer

Aspirin is absolutely contraindicated in all primary prevention

Practice question