<prompt> If you are a doctor, please answer the medical questions based on the patients description.43, non-smoker, white, eat pretty well, fairly fit marathoner, high cholesterol but maintained with Niaspan. Just had echocardiogram and results are mild aortic sclerosis. Reading about this..wow..what more canshould I do? Have not been back for follow up yet..  <response>: Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would recommend taking a statin atorvastatin, simvastatin, etc. and daily aspirin 80 mg, to prevent the progression of atherosclerosis and prevent for possible ischemic events. From the other hand, I would recommend periodically scheduled follow-ups with ultrasound every 12 months and routing check up blood lipid profile, resting ECG, chest X-ray study and further lab tests every 6 months. It is important avoiding possible risk factors: - diet modifications low salt and fat intake- control better high blood pressure - avoid smoking and alcohol intake. Hope to have been helpful! Best wishes, 