Question

A 70-year-old man without ASCVD asks about daily aspirin to prevent heart disease. He has controlled hypertension and no bleeding history. What do you recommend?

Accepted Answer

Do not initiate aspirin for primary prevention

Answer

Start low-dose aspirin 81 mg daily now

Answer

Start aspirin 325 mg daily

Answer

Start aspirin only if 10-year ASCVD risk ≥20%

Answer

Start aspirin if coronary calcium score >100

Practice question

A 70-year-old man without ASCVD asks about daily aspirin to prevent heart disease. He has controlled hypertension and no bleeding history. What do you recommend?