Would you start ASA and/or statin therapy on an asymptomatic patient noted to have incidental pathologic Q waves on EKG, assuming no prior history of ischemic heart disease?

Would you start aspirin and/or statin therapy on an asymptomatic patient noted to have incidental pathologic Q waves on an EKG, assuming no prior history of ischemic heart disease?

• Yes, but only after a thorough history and physical examination, comprehensive risk evaluation, and necessary screenings including blood work, and a stress echocardiogram or full echocardiogram
• Yes, but only after conducting a 10-year and lifetime cardiovascular risk assessment according to current guidelines, taking into consideration the patient's age and functional capacity
• No, I would not start ASA or statin therapy based solely on the presence of pathologic Q waves without further evaluation and risk assessment
• Other