In patients at high risk for cardiovascular events, what medication is often prescribed in addition to lifestyle changes?

Prepare for the Rosh Internal Medicine Boost End of Rotation (EOR) Exam with flashcards and multiple-choice questions. Each question offers hints and explanations to help you excel. Get exam-ready now!

In patients identified as having a high risk for cardiovascular events, aspirin plays a significant role in the management of their cardiovascular health, particularly due to its antiplatelet properties. Aspirin effectively reduces the risk of thrombus formation by inhibiting platelet aggregation, which is critical in preventing events such as heart attacks and strokes. The use of aspirin is based on substantial evidence supporting its benefit in reducing cardiovascular morbidity and mortality in at-risk populations.

While statins are also commonly prescribed to manage cholesterol levels and reduce the risk of cardiovascular events, the question specifically highlights the addition of medication to lifestyle changes. Aspirin is often recommended alongside lifestyle modifications such as diet, exercise, and smoking cessation, partly because it directly addresses the prevention of clot-related events. Beta-blockers and calcium channel blockers, while useful in certain contexts, are not primarily indicated solely for prevention in high-risk patients without other specific reasons (like hypertension or heart failure). Thus, in the context of primary prevention for high-risk individuals, aspirin emerges as a key medication to consider for enhancing cardiovascular protection.

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