April/May is our busiest time of year bridgewise. This weeked you are playing the semi-final of the national mixed teams competition, which is (unusually) scored as aggregate, honours counting. Not that that really makes a difference to this hand.
Opponents are good players, have won national events in England (and in Australia) but are not top class.
LHO leads a high heart pip (obviously a doubleton) to the jack and your ace.
You observe that, assuming they don't have/can't find a club ruff
- leading a low spade from hand picks up AQx or AQ10 on your left as long as LHO also has the CA. Also sometimes AQ doubleton, except now you know there is a minor suit ruff available if they find it.
- crossing in diamonds to play a spade up picks up Qxx/Q10x on your left.
- leading the SK from hand picks up AQx on your left. However if LHO has A10x or Axx or even A108x in a 4243 they might duck the SK. (Also A10 doubleton on your left except you have to pick it)
AQx or AQ10 on your left is more likely than AQx only. How likely is LHO to duck from Axx, and for you to be right to play for that (rather than play for them to have ducked from AQx)?
How do you play spades?

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3♥ P P x
P 4♠ all pass