Is it an A major chord, minor chord, +5, diminished, 9 or #9 or b9, etc.? Alto sax could play a F# major scale or a pentatonic scale or some other scale or groups of notes depending a lot on what type of A chord the guitar is playing and what chords come before and after the A chord. It could play passing notes on the way to or from the F#. It could play the melody, if there is one. It could play lots of things. Search "voice leading" on the internet or in this forum.