Whats The Bottom Line
The best way to know if you can benefit from aspirin therapy is to ask your health care provider. You should not start aspirin on your own.
Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff.
Last Reviewed: Mar 20, 2019
New Advice On Aspirin And Heart Health
Who is affected?
If finalized, the recommendation would affect most people in their 40s and 50s whose doctors might have prescribed low-dose aspirin as a preventive tool in the past. For years, people were advised to take a daily pill to try to avoid a first heart attack or stroke. Patients with questions should talk to their doctors.
The task force also said that no one over 60 should take low-dose aspirin as a new treatment if they have not had a heart attack or stroke.
Other Side Effects Of Bayer Aspirin
Some side effects of aspirin may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
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Is Taking Aspirin Good For Your Heart
If youve had a heart attack or stroke, theres no doubt that taking low-dose aspirin is beneficial, says Erin Michos, M.D., M.H.S., associate director of preventive cardiology for the Ciccarone Center for the Prevention of Heart Disease. But if you dont have heart disease, should you take it just in case? The answer for most individuals is probably not.
Is It Heartburn Or A Heart Attack
The most common sign of a heart attack for both men and women is chest pain. But knowing whether the pain is a true warning sign of heart attack or a bout of indigestion may not always be obvious.
If your pain is similar to heartburn, but it seems worse or different than what you normally experience, you should get emergency help. This is especially important if you’re experiencing other symptoms such as shortness of breath, sweating, dizziness, nausea or pain that moves into your shoulder and arm.
Its best to pay attention when something does not feel right. Its better to visit an ER and find out its simply heartburn than to ignore the symptoms and find out too late that its serious.
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What Caused The Low
After last meeting on the topic in 2016, the USPSTF recently reconvened to discuss the role that low-dose aspirin should and shouldn’t play in the prevention of heart disease and its complications. New recommendations that were drafted and released in October 2021 are now finalized as of April 26, 2022.
The new recommendations set by the task force are that:
- Taking daily low-dose aspirin for primary prevention of heart disease in adults 60+ shows no clear benefit.
- Taking daily low-dose aspirin for primary prevention of heart disease in adults 40-59 who have a 10-year atherosclerotic cardiovascular disease risk of 10% or higher may have a small benefit.
“Primary prevention means you’re at risk for heart disease and preventive steps are needed to reduce this risk, but there’s no evidence that your arteries are actually diseased and you haven’t yet had a heart attack or stroke,” says Dr. Septimus.
Rather than taking low-dose aspirin every day, your doctor may recommend reducing your heart disease risk by making lifestyle changes, such as:
Immediate First Aid Works To Minimize Blood Clotting Triggered By Plaque Ruptures
How should you take aspirin for a heart attack? You’ve always been healthy, but you seemed to run out of steam at your wife’s 60th birthday dinner last week. And now your chest feels heavy, as if you’re in a vise. You take some antacids, even though it’s 7:00 a.m. and you haven’t even had breakfast. But you get no relief, and the pain is spreading to your jaw and shoulder. You call your wife, who takes one look at you and rushes to the phone. After calling 911, she brings you an aspirin and some water.
Your wife got it right: You may be having a heart attack, and you need to get to the hospital fast. You also need to get some aspirin into your system quickly but should you chew the tablet or swallow it?
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Should I Take Aspirin Therapy If Im Having A Heart Attack
If you experience chest pain or think youre having a heart attack, before you do anything else. Take aspirin only if instructed to by emergency medical technicians. You should take no more than four baby aspirin if you are experiencing a heart attack.
A note from Cleveland Clinic
If youre at risk for heart attack or stroke, daily low-dose aspirin therapy may reduce your risk, especially if youve previously had these conditions. Talk to your healthcare provider about whether aspirin therapy for heart disease is right for you.
Last reviewed by a Cleveland Clinic medical professional on 07/15/2022.
Aspirin For Heart Attack First Aid
The reason you need aspirin is the same reason you should call 911 without delay: A heart attack is a dynamic event, and early intervention can limit the damage. The paramedics can give you oxygen and medication, and they’ll monitor your blood pressure and heart rhythm to forestall complications as they speed you to the ER. In the hospital, doctors will take EKGs and blood tests to see if you are having a heart attack if so, they will usually try to open the blocked artery with an angioplasty and stent or, if that’s not available, with a clot-busting drug.
It’s modern cardiology at its best, and it has improved considerably the outlook for heart attack victims. But how can a humble aspirin tablet add to high-tech medicine, and why is speed so important?
Most heart attacks develop when a cholesterol-laden plaque in a coronary artery ruptures. Relatively small plaques, which produce only partial blockages, are the ones most likely to rupture. When they do, they attract platelets to their surface. Platelets are the tiny blood cells that trigger blood clotting. A clot, or thrombus, builds up on the ruptured plaque. As the clot grows, it blocks the artery. If the blockage is complete, it deprives a portion of the heart muscle of oxygen. As a result, muscle cells die and it’s a heart attack.
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Aspirin By Your Bedside
Most heart attacks occur in the day, generally between 6 A.M. and noon. Having one during the night, when the heart should be most at rest, means that something unusual happened. If you take an aspirin or a baby aspirin once a day, take it at night. The reason: Aspirin has a 24-hour half-life therefore, if most heart attacks happen in the wee hours of the morning, the Aspirin would be strongest in your system. Bayer is making crystal aspirin to dissolve instantly on the tongue. They work much faster than the tablets.
Why keep Aspirin by your bedside? Its about Heart Attacks
There are other symptoms of a heart attack, besides the pain on the left arm. One must also be aware of an intense pain on the chin, as well as nausea and lots of sweating however, these symptoms may also occur less frequently.
Note: There may be NO pain in the chest during a heart attack.
The majority of people who had a heart attack during their sleep did not wake up. However, if it occurs, the chest pain may wake you up from your deep sleep. If that happens, immediately dissolve two aspirins in your mouth and swallow them with a bit of water.
- Phone a neighbor or a family member who lives very close by.
- Say heart attack!
- Say that you have taken 2 Aspirins.
- Take a seat on a chair or sofa near the unlocked front door, and wait for their arrival and
- DO NOT LIE DOWN!
Are There Other Benefits To Taking Daily Aspirin
Some studies suggest that daily aspirin therapy may prevent certain cancers.
In particular, the 2016 USPSTF recommendations reported that taking aspirin on a daily basis likely reduces risk for colorectal cancer, but only after 5 to 10 years of use.
- are at risk of hemorrhagic stroke
- drink alcohol on a regular basis
- need to undergo routine dental or medical procedures
- are over the age of 70
If you have any of the above risk factors, its critical to talk with your doctor before taking aspirin.
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What Drugs And Food Should I Avoid While Taking Bayer Aspirin
Avoid alcohol. Heavy drinking can increase your risk of stomach bleeding.
Avoid taking ibuprofen if you take aspirin to prevent stroke or heart attack. Ibuprofen can make aspirin less effective in protecting your heart and blood vessels. Ask your doctor how far apart your doses should be.
Ask a doctor or pharmacist before using other medicines for pain, fever, swelling, or cold/flu symptoms. They may contain ingredients similar to aspirin .
Prevents Clots From Forming Growing
Most heart attacks and strokes happen when a blood clot forms and blocks blood flow in an artery. Under normal circumstances, the body develops a blood clot to stop the loss of blood after an injury. When a blood vessel is damaged, sticky cells called platelets begin to clump together, while proteins in the blood form strands of fibrin. The fibrin creates a net-like structure that holds the forming clot together. Blood clots can form in damaged vessels of the heart or the brain, and these can block blood to the tissue and cause a heart attack or stroke. Aspirin stops clots from forming by preventing the platelets from clumping together.
If you have had a heart attack or stroke, your doctor may prescribe low-dose aspirin to prevent a second event. Low-dose aspirin has been shown to reduce the risk of a first heart attack but has not been definitively proven to reduce the risk of a stroke. Speak with your physician before starting low-dose aspirin for prevention.
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Heart Attacks In Women
Every 42 seconds, someone in the United States suffers a heart attack. Women account for nearly half of all heart attack deaths. Over a life time, heart disease kills five times as many women as breast cancer.
While heart disease is the leading cause of death for both men and women in the United States, there are some key differences between genders. Women tend to experience heart attacks about 10 years later in life than men. Also, women are twice as likely as men to die within the first few weeks after suffering a heart attack.
However, there are many things you can do to help lower your risk of having a heart attack, including being physically active, maintaining a healthy weight, following a healthy diet and knowing your risks.
You Decide If The Benefits Outweigh The Risks
Aspirin can be your heart’s best friend because it helps prevent the formation of blood clots that can cause heart attacks. Regularly taking a low-dose aspirin cuts the risk of such attacks by about 25 to 30 percent. And chewing a standard aspirin tablet at the first sign of chest pain can stop an impending heart attack by preventing blood clots from growing larger. Aspirin’s anti-clotting effect also protects against ischemic stroke, the most common kind.
Moreover, research has linked aspirin to a reduced risk of Alzheimer’s disease, certain cancers, type 2 diabetes, an enlarged prostate gland in men, and other health problems. No wonder, then, that more than 50 million Americans-36 percent of adults-take aspirin regularly as a preventive measure. And even more could benefit from the therapy. Some 20 percent of women and 14 percent of men who are good candidates for aspirin therapy aren’t taking the drug, according to a recent study of about 1,900 people 40 and older published in the Journal of General Internal Medicine.
The answers to the following 10 common questions about aspirin can help you decide if you’re likely to benefit from it and, if you are, help you make the therapy as effective and safe as possible.
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Aspirin Isnt Right For Everyone
Even in low doses, aspirin can have significant side effects. The most common ones, occurring in up to 10% of people who take aspirin, are an increased tendency to bleed and stomach upset, including heartburn, nausea, vomiting, or bleeding in the stomach. Other less common side effects include kidney, liver, and nervous system problems.
Although low-dose aspirin is an OTC drug and safe for most people, the FDA recommends that certain individuals not take aspirin in any dose. Those with an allergy to aspirin or salicylates those with a bleeding disorder such as hemophilia or vitamin K deficiency and people with uncontrolled high blood pressure, severe liver or kidney disease, or asthma should avoid using aspirin. In addition, aspirin should not be used by someone who is also taking a prescription blood thinner such as warfarin, Pradaxa, or Xarelto, or another OTC NSAID such as naproxen or ibuprofen .
Before taking any OTC drug on a regular basis, even low-dose aspirin, be sure to talk with your healthcare provider first to find out if its right for you. Always ask your pharmacist to check your prescription and other OTC medications for aspirin interactions or incompatibilities. Even supplements such as fish oil and vitamin D can interact with aspirin.
Chewable Aspirin Is Best For The Heart
Study Shows Chewable Aspirin Is Absorbed More Quickly Than Solid Tablets
May 15, 2009 — Chewable aspirin is absorbed faster and is more effective than regular aspirin that is either swallowed whole or chewed and then swallowed, a new study shows.
This “seemingly quite simple finding” could lead to improvements in the care of heart attack patients, researchers say.
Sean Nordt, MD, of the University of California, San Diego, and colleagues, gave three different types of aspirin to 14 people between ages of 20 and 61. One group was given regular solid aspirin tablets and told to swallow the pills whole. Another was given regular aspirin tablets and told to chew the pills before swallowing. A third group was given chewable aspirin tablets, and swallowing occurred during chewing.
The researchers then measured levels of aspirin in the blood researchers say the chewable aspirin consistently showed the greatest and fastest absorption rates.
The findings are being presented at the annual meeting of the Society for Academic Medicine in New Orleans.
Researchers say the study was done because current guidelines recommend chewing to increase absorption, but evidence that that’s best is scant.
Thirteen of the 14 participants were men the mean age was 31. Over the course of the study, each participant ingested each form of aspirin 1,950 milligrams of aspirin was administered every time.
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Is Daily Aspirin Right For You
Doctors typically prescribe daily aspirin therapy for people who have certain cardiovascular risk factors.
You might benefit from taking aspirin every day if you answer yes to one or more of the following questions:
- Have you previously had a heart attack?
- Have you previously had a clot-related stroke?
- Have you had a stent inserted in a coronary artery?
- Do you have chest pain caused by angina?
- Have you had coronary bypass surgery?
- Are you a man over 50 or a woman over 60 with diabetes and at least one other heart disease risk factor?
- Do you have a family history of heart attacks?
If you think youre at risk, make an appointment to discuss daily aspirin with a doctor.
Why Take An Aspirin While Waiting For The Paramedics
A heart attack, also called myocardial infarction , is usually a form of acute coronary syndrome . ACS is triggered by the rupture of a plaque within a coronary artery. This plaque rupture causes a thrombus to form within the artery, leading to a blockage. The portion of the heart muscle being supplied by the artery then begins to die. The death of heart muscle is what defines a myocardial infarction.
What this means is that, at the time you are having a heart attack, a big part of the problem is the growth of a blood clot within the affected artery. Formation of this blood clot depends to a large extent on the blood platelets, which are tiny blood cells whose job is to participate in blood clotting.
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What Are The Guidelines For Aspirin Therapy
Always talk to your healthcare provider before starting aspirin therapy for heart disease. Your provider will tell you whether aspirin is good for your heart and how much you should take.
One baby aspirin per day is enough to help prevent heart attack or stroke. Higher doses will increase your risk of bleeding. If you do not have many risk factors for heart disease, are older, or have a high risk of life-threatening bleeding, then aspirin therapy may not be right for you.
What Drug Interactions Should I Be Aware Of If Im On Aspirin Therapy
Tell your healthcare provider about any medications you take. Let your provider know if you take over-the-counter drugs, herbal supplements or vitamins. Some medications and supplements may thin your blood and could increase your bleeding risk if you also take aspirin therapy.
Before any procedure, emergency treatment or dental work, tell the provider that you are taking low-dose aspirin therapy.
Talk to your healthcare provider about using alcohol if you are on aspirin therapy. Drinking alcohol can increase your risk of stomach bleeding.
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