A 52-year-old heavy smoker (30 pack-years) currently smoking seeks help to quit and asks whether daily aspirin is advised to reduce his MI risk. He ha...

Question

A 52-year-old heavy smoker (30 pack-years) currently smoking seeks help to quit and asks whether daily aspirin is advised to reduce his MI risk. He has 10‑year ASCVD risk of 8%. What do you recommend?

Accepted Answer

No aspirin initiation; focus on smoking cessation and risk control

Answer

Start aspirin 81 mg daily for primary prevention now

Answer

Start aspirin 325 mg daily

Answer

Start aspirin after 60 years of age

Answer

Aspirin plus clopidogrel for primary prevention

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

A 52-year-old heavy smoker (30 pack-years) currently smoking seeks help to quit and asks whether daily aspirin is advised to reduce his MI risk. He has 10‑year ASCVD risk of 8%. What do you recommend?