Is There A Role For Aspirin In Primary Prevention Of Ischemic Heart Disease In Hypertensive Patients

Madam X, a 60 year old housewife who has chronic essential hypertension for the past 10 years on oral antihypertensive treatment. Her blood pressure is well controlled 130/80 mmHg. She is a non smoker and non diabetic. Her body mass index (BMI) is 28.5 kg/m2. She has no end organ target damage. She asks if she need to take aspirin, as she heard from her friends that aspirin can prevent ischaemic heart disease. Question: In a patient with essential hypertension but without other medical disorders or complications, should aspirin be prescribed to prevent coronary artery disease? (copied from article)