Question

A 70-year-old woman with hypertension and hyperlipidaemia but no established cardiovascular disease asks about starting aspirin for primary prevention. According to Australian guidelines, what is the best advice?

Accepted Answer

Recommend against routine aspirin for primary prevention and focus on blood pressure, lipids and lifestyle

Answer

Start low-dose aspirin because she is over 65 years

Answer

Recommend aspirin if her 5-year CVD risk is >5%

Answer

Start aspirin only if she also has diabetes

Answer

Use aspirin only if she is intolerant of statins

Practice question

A 70-year-old woman with hypertension and hyperlipidaemia but no established cardiovascular disease asks about starting aspirin for primary prevention. According to Australian guidelines, what is the best advice?