Low-dose aspirin heart attack

2022 - 4 - 27

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Image courtesy of "NDTV"

Low-Dose Aspirin May Cause More Harm Than Benefit For Some ... (NDTV)

New recommendations on the use of low-dose aspirin to prevent a first heart attack or stroke say the blood thinner's risks may outweigh its benefits, ...

Wong said that quitting smoking, treating hypertension and monitoring blood pressure are also important tools to help prevent a heart attack or stroke. People ages 40 to 59 who are concerned about cardiovascular disease, should only use low-dose aspirin in consultation with a health care professional who can help weigh the individual benefits and risks. Aspirin's blood-thinning properties are a risk for those with other health conditions that may predispose them to bleeding. But before initiating the medication, people should talk to a doctor first. Current evidence highlighting the risks of internal bleeding associated with aspirin use prompted the U.S. Preventive Services Task Force to revise their 2016 guidelines. Untreated blood clots can lead to heart attack or stroke.

'No Net Benefit': Daily Aspirin For Most Now Discouraged By Task ... (Kaiser Health News)

The U.S. Preventive Services Task Force released a report that finds little to no benefit for people without cardiovascular disease in preventing a heart ...

In major new guidance, an influential physician task force no longer recommends daily aspirin to prevent a first heart attack or stroke among people 60 and older. Among adults 40 to 59 years old, the task force, a volunteer group of medical experts, concluded “with moderate certainty” that there was a small net benefit to taking low-dose aspirin among those who have a 10% or higher risk of developing heart disease in a 10-year period. Taking low-dose aspirin every day to prevent a heart attack or stroke provides little to no benefit to people without cardiovascular disease but could instead increase the risk of dangerous bleeding, a new report from the U.S. Preventive Services Task Force says. New guidance from the U.S. Preventive Services Task Force says people over the age of 60 should not start taking daily, low-dose aspirin to prevent cardiovascular events like heart attacks or strokes. For adults ages 60 and up who don’t have cardiovascular disease or aren’t at high risk of developing it, the task force determined there was no benefit to starting aspirin if they are not already on it. The U.S. Preventive Services Task Force released a report that finds little to no benefit for people without cardiovascular disease in preventing a heart attack or stroke.

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Image courtesy of "Diagnostic and Interventional Cardiology"

New USPSTF Guidance: Continue to Take Low-Dose Aspirin if you ... (Diagnostic and Interventional Cardiology)

New USPTF recommendations align with 2019 American Heart Association guideline: low-dose aspirin not advised for people with no history of CVD or stroke.

The scientific evidence continues to confirm healthy lifestyle habits and effectively managing blood pressure and cholesterol are the top ways to prevent a first heart attack or stroke, not low-dose aspirin. Due to the blood-thinning effects of aspirin, research continues to indicate that for most adults the risk of bleeding may be greater than the number of heart attacks or strokes actually prevented. Some recent evidence also indicates some people with higher coronary calcium scores, >100 units, indicating higher plaque burden and risk, may also benefit from aspirin therapy if they have no history of prior bleeding.” “We continue to urge clinicians to be extremely selective when prescribing aspirin for adults without known cardiovascular disease. In consultation with their physician, select middle-aged adults may benefit from low-dose aspirin therapy if they are at high risk for heart attack or stroke due to risk factors such as smoking, hypertension, Type 2 diabetes, high cholesterol or significant family history. For people who have no history of cardiovascular disease or stroke, low-dose aspirin is not recommended for prevention of heart attack or stroke, particularly for adults with higher risk for bleeding.

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Image courtesy of "New York Post"

Warning over common drug that could cause internal bleeding (New York Post)

Doctors have warned against people over 60 taking a daily dose of aspirin. It has been traditionally taken each day to slash the risk of a heart attack or ...

The painkiller is also thought to reduce the risk of breast, colon, prostate and gastric cancers. “Aspirin use requires discussion between the patient and their physician, with the knowledge that any small potential cardiovascular benefits are weighed up against the real risk of severe bleeding.” Lead researcher, Dr Sean Zheng, said: “There is insufficient evidence to recommend routine aspirin use in the prevention of heart attacks, strokes and cardiovascular deaths in people without cardiovascular disease.

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Aspirin No Longer Recommended To Prevent First Heart Attack Or ... (CBS Boston)

BOSTON (CBS) — For decades, older adults have been advised to take a daily aspirin to help prevent heart disease. But a leading group of experts says that ...

People with known heart disease or a history of stroke who have been advised to take daily aspirin by their providers should continue to do so. BOSTON (CBS) — For decades, older adults have been advised to take a daily aspirin to help prevent heart disease. For middle-aged adults ages 40 to 59, there could be a small benefit for those with a 10% or higher risk of developing heart disease over the next 10 years.

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Daily aspirin to prevent heart disease and stroke no longer ... (The Philadelphia Inquirer)

The new stance by the U.S. Preventive Services Task Force serves as an update to its 2016 guidance.

The organization also notes that about 605,000 people in the U.S. suffer their first heart attack each year on average, while about 610,000 have their first stroke. Meanwhile, people aged 40 to 59 with at least a 10% risk of 10-year cardiovascular disease should look at taking daily aspirin as an individual choice, the task force said Tuesday. The new stance by the leading task force serves as an update to its 2016 guidance, which said people between 60 and 69 years old with at least a 10% risk of suffering from cardiovascular disease over the next 10 years should view taking low-dose aspirin daily as an “individual” decision.

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Image courtesy of "Audacy"

Older adults shouldn't start taking daily aspirin (Audacy)

This new guidance replaces a 2016 recommendation to initiate a low-dose of aspirin to prevent cardiovascular disease and colorectal cancer in adults age 50 to ...

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U.S. Task Force No Longer Recommends Daily Aspirin for Heart ... (Prevention.com)

“For primary prevention, the benefit of taking aspirin to prevent a first heart attack or stroke does not outweigh the risk of gastrointestinal bleeding or ...

“Studies show that aspirin reduces the incidence of heart attack and stroke in patients at risk for heart attack and stroke,” Dr. O’Mahony says. If you’re taking a daily baby aspirin to try to lower your risk of developing heart issues or have a loved one who is doing this, you probably have questions. To reach the latest conclusion, the panel analyzed data from three large clinical trials that were published in 2018—all showed that there was a small benefit of taking daily aspirin and an increased risk of developing gastrointestinal and brain bleeding. “It may include recommendations for lifestyle modifications, smoking cessation, blood pressure treatment, and possibly cholesterol medications.” - Take your medicine. “For primary prevention, the benefit of taking aspirin to prevent a first heart attack or stroke does not outweigh the risk of gastrointestinal bleeding or bleeding in the brain,” says Thomas Boyden, M.D., program director of preventive cardiology at Spectrum Health. “This is supported by previous trials and pooled data. Cardiovascular disease is an umbrella term that’s used to describe several heart-related conditions, including heart disease, heart attack, stroke, and heart failure, per the American Heart Association (AHA). Keeping them under control will help lower your risk. The biggest concern is bleeding, like stomach ulcers or bleeding in the brain. If you do, try to quit. But now, a major expert panel is advising against the practice for most Americans. The U.S. Preventive Services Task Force (USPSTF) issued a recommendation yesterday that states, “the USPSTF recommends against initiating low-dose aspirin use for the primary prevention of cardiovascular disease in adults 60 years or older.” However, the USPSTF says that there is a “small net benefit” in using aspirin to lower the risk of heart issues in adults between the ages of 40 and 59 who have a 10% or greater 10-year risk of developing cardiovascular disease.

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Experts No Longer Recommend Preventive Daily Aspirin for Heart ... (SELF)

In 2016, the U.S. Preventive Services Task Force (USPSTF) recommended that adults aged 50 to 59 years who were at risk for cardiovascular disease (CVD) ...

The final recommendations grant a C letter grade to the recommendation that those aged 40 to 59 with a 10% risk of developing CVD use preventive daily aspirin, and a D letter grade to adults aged 60 or older. “The USPSTF concludes with moderate certainty that aspirin use for the primary prevention of CVD events in adults aged 40 to 59 years who have a 10% or greater 10-year CVD risk has a small net benefit,” a USPSTF statement reads. In 2016, the U.S. Preventive Services Task Force (USPSTF) recommended that adults aged 50 to 59 years who were at risk for cardiovascular disease (CVD) should take a daily low-dose (75 to 100 milligrams) aspirin for heart attacks.

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Aspirin might prevent heart attack, but is it worth risk of internal ... (mlive.com)

An independent panel of prevention experts now says adults 60 and older should not initiate a low-dose aspirin regimen to fend off heart disease, ...

When looking at studies reporting on the harms of low-dose aspirin use, a pooled analysis of 10 trials showed aspirin use was associated with a 58% increase in major gastrointestinal bleeding. Recent years have reported an increase in cardiovascular disease mortality, according to the task force. It analyzed 11 trials and they showed low-dose aspirin use was associated with a statistically significant decreased risk of nonfatal heart attacks. These patients could have a high coronary calcium score, a measure of calcified plaque in coronary arteries. There has been growing awareness of the complications linked to aspirin, Khandelwal said. This population is automatically placed in the high-risk group, Khandelwal said.

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People Over 60 Should Not Start Taking Daily Aspirin for the ... (Everyday Health)

New Recommendations Focus on Primary Prevention of a Cardiovascular Event · Evidence Shows the Modest Benefits of Aspirin in Preventing Heart Disease Often Don't ...

If your current risk level doesn’t indicate that aspirin is appropriate, there are still many ways to optimize your cardiovascular risk profile and reduce your chances of a first heart attack or stroke, says Wilkins: “In the past three years, there have been a couple of large randomized trials once again studying aspirin for preventative purposes. The last thing we want is for people who people who have had a procedure, such as having a stent put in, to stop their daily aspirin. “These recommendations only apply to the primary prevention group — they don’t apply in any way to people who already have established cardiovascular disease. For people age 60 or older, the panel recommends against starting low-dose aspirin for the primary prevention of CVD. “It’s very important to distinguish between primary and secondary prevention,” says Dr. Wilkins. Primary prevention recommendations are intended to prevent the first occurrence of a heart attack, stroke or a cardiovascular disease event, he says. Adults 60 and older who are at risk of heart disease should not start taking a daily low-dose aspirin to prevent heart attack or stroke, according to the United States Preventive Services Task Force (USPSTF), a panel of 18 independent experts appointed by the U.S. Department of Health and Human Services. The panel concluded with “moderate certainty” that initiating aspirin for the primary prevention of cardiovascular disease (CVD) events in this age group has no net benefit.

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