Is there a role for aspirin in primary prevention of ischemic heart disease in hypertensive patients?

Patients with essential hypertension are at risk of target organ damage which includes left ventricular hypertrophy, coronary artery disease (CAD), heart failure, stroke or transient ischaemic attack, chronic kidney disease, peripheral arterial disease, and retinopathy. The use of aspirin as secondary prevention for patients with underlying CAD is well established. However, is the use of aspirin appropriate for the primary prevention of CAD in hypertensive patients