How should this patient be treated?

Cardiology Review® Online, August 2006, Volume 23, Issue 8

A 45-year-old man with no significant medical history presents for a new-patient evaluation at your office.

A 45-year-old man with no significant medical history presents for a new-patient evaluation at your office. He has no current symptoms, is a nonsmoker, and is taking no medications. His blood pressure is 138/82 mm Hg. A recent cholesterol screening performed at work showed a total cholesterol level of 240 mg/dL and high-density lipoprotein (HDL) cholesterol level of 45 mg/dL. You use your personal digital assistant’s risk calculator to determine that his 10-year risk of CAD events is 8%. Should you recommend aspirin for CAD disease prevention? Should you prescribe a statin?