Aspirin As A Primary Prevention Measure
The suggested changes say that no one over the age of 60 should take aspirin as primary prevention against cardiovascular disease. Primary prevention is a term for avoiding a first heart attack, ischemic stroke or other type of cardiovascular issue. Low-dose aspirin might be considered for individuals age 40 to 59 who are at moderate risk of developing cardiovascular disease and do not have an increased risk of bleeding.
Bitar says his moderate- to high-risk patients are evaluated using the Framingham scoring system, which helps to predict a persons risk of heart attack and stroke. The system measures factors like HDL cholesterol, total cholesterol, blood pressure, age, sex and smoking habits, he said.
For years, aspirin was considered a safe way to prevent heart disease because it served as an over-the-counter medication that thins the blood, thus reducing the risk of clot formation a precursor of heart attack and stroke. But experts now warn about the risk of internal bleeding from consuming aspirin.
Taking aspirin on a daily basis irritates the lining of the stomach and bowels, which can lead to bleeding in the digestive system, said Bitar. For those who have not experienced a cardiovascular event, the benefits of a daily aspirin do not outweigh the risk of bleeding, he says.
Will An Aspirin A Day Really Keep A Heart Attack Away
Will an aspirin a day keep a heart attack at bay?
The answer: It depends.
If youve had a heart attack or stroke, or are at high risk for one , your doctor may recommend you take a daily aspirin. Aspirin has long been promoted for its benefits to those with heart and cardiovascular disease. It can help reduce the risk of blood clots forming inside an artery and blocking blood flow to the heart or brain. Aspirin use could also play a role in the prevention of certain cancers, such as colon and rectal cancers.
There are several groups of patients with established heart disease who benefit from aspirin to prevent developing recurrent cardiovascular events, also known as secondary prevention, said Brian Henry, MD, a cardiologist at Banner Health in Colorado. These include patients with a history of heart attack, ischemic stroke and stable ischemic heart diseaseincluding those who have undergone coronary artery bypass graft surgery or coronary artery stenting, stable peripheral artery disease or carotid artery disease.
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:
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Who Should Take Aspirin
For people who have had a heart attack: Aspirin can help prevent a second heart attack. Your doctor has probably already prescribed aspirin for you.
For people who have had a stroke: Aspirin can help prevent a second stroke or a transient ischemic attack , which is often a warning sign of a stroke.
For people who have never had a heart attack or stroke: Talk to your doctor before you start taking aspirin every day. Aspirin lowers the risk of heart attack. But aspirin can also cause serious bleeding. And it is not clear that aspirin can help prevent a stroke if you have not already had a heart attack or stroke in the past. You and your doctor can decide if aspirin is a good choice for you based on your risk of a heart attack and your risk of serious bleeding. For help on this decision, see: Aspirin: Should I Take Daily Aspirin to Prevent a Heart Attack or Stroke?.
Aspirin may also be used by people who:
Is There More Harm Than Benefit
Previous guidelines from the United States Preventive Services Task Force warned against taking aspirin for the primary prevention of heart disease unless youre at an elevated risk typically if youre 50 to 69 years old with a 10 percent or greater chance of having a heart attack or stroke within the next 10 years.
There is good reason to be wary of aspirin, warns Michos, particularly for women. The Womens Health Study was a large trial that looked at whether women with no history of heart disease would benefit from taking a low dose of aspirin. Researchers found that in the overall group of women, aspirin didnt reduce the risk of heart attacks, but it did increase the risk of bleeding. Some benefit was seen for women over the age of 65.
So not only was there lack of benefit for the younger women taking aspirin, but there was also a question of harm, says Michos. Its important for people to realize that just because aspirin is over-the-counter does not mean it is necessarily safe. Many patients take aspirin because they think its good for their hearts, but it carries some serious risks.
The best way to assess your risk level is to talk to your doctor about it. Your doctor can help you weigh the risks and benefits to determine if low dose aspirin therapy is right for you.
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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.
Fda Warns Aspirin Isnt For Everyone
The updated guidance recommends that adults in their 40s and 50s only take aspirin as a preventive measure if their doctors determine they are at higher risk for heart disease and that aspirin may lower the risk without significant risk of bleeding. People ages 60 or older are now advised not to start taking aspirin to prevent first heart attacks or strokes.
The draft recommendations dont apply to people who have already had heart attacks or strokes the task force still recommends that they take aspirin preventively.
For anyone who is on aspirin because theyve already had a heart attack or stroke, its a very important medication, said Dr. Erin Michos, an associate director of preventive cardiology at the Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, who isnt part of the task force.
Heart disease is the leading cause of death in the U.S., and according to the most recent data available, 29 million adults in the U.S. take aspirin daily to prevent heart disease even though they dont have histories of it.
Aspirin acts as an anticoagulant, meaning it helps to prevent blood clots from forming. A clot that cuts off blood flow to the heart leads to a heart attack one that cuts off blood flow to the brain causes a stroke. The idea behind taking a daily low-dose aspirin was to lower the risk of such clots, lowering the risk of heart attack or stroke.
Also extremely important? Lifestyle changes.
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Aspirin No Longer Recommended To Prevent First Heart Attack Stroke
April 27, 2022 â People who are age 60 or older should not begin taking daily aspirin to prevent a first heart attack or stroke, according to new recommendations from the U.S. Preventive Services Task Force.
Whatâs more, people ages 40-59 should take daily aspirin only if they have a high risk of cardiovascular disease and have talked with their doctor about whether to start taking aspirin to prevent a heart attack or stroke.
After age 75, there is little benefit in continuing daily aspirin use.
âBecause the chance of internal bleeding increases with age, the potential harms of aspirin use cancel out the benefits,â Michael Barry, MD, the task forceâs vice chair and director of the Informed Medical Decisions Program at Massachusetts General Hospital, said in the statement.
Heart disease and stroke are the leading causes of death in the U.S., making up more than 1 in 4 deaths, the task force said. Although daily aspirin use has been shown to lower the chance of having a first heart attack or stroke, it can also increase the risk for bleeding in the brain, stomach, and intestines.
For years, doctors have recommended that patients in their 50s begin taking baby aspirin daily to protect against heart attacks and strokes. But in recent years, new evidence has highlighted the possible harms of daily aspirin, and doctors began shifting their recommendations.
Who Should Not Take Aspirin
People who have certain health problems shouldn’t take aspirin. These include people who:
- Have a stomach ulcer.
- Have recently had a stroke caused by bleeding in the brain.
- Are allergic to aspirin.
- Have asthma that is made worse by aspirin.
If you think you are having a stroke, do not take aspirin because not all strokes are caused by clots. Aspirin could make some strokes worse.
Gout can become worse or hard to treat for some people who take aspirin.
If you take some other blood thinner, talk with your doctor before taking aspirin, because taking both medicines can cause bleeding problems.
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Fact: Aspirin Is A Drug
If you are at risk for heart attack or stroke your doctor may prescribe aspirin to increase blood flow to the heart and brain. But any drug including aspirin can have harmful side effects, especially when mixed with other products. In fact, the chance of side effects increases with each new product you use.
New products include prescription and other over-the-counter medicines, dietary supplements , and sometimes foods and beverages. For instance, people who already use a prescribed medication to thin the blood should not use aspirin unless recommended by a health professional. There are also dietary supplements known to thin the blood. Using aspirin with alcohol or with another product that also contains aspirin, such as a cough-sinus drug, can increase the chance of side effects.
Your health professional will consider your current state of health. Some medical conditions, such as pregnancy, uncontrolled high blood pressure, bleeding disorders, asthma, peptic ulcers, liver and kidney disease, could make aspirin a bad choice for you.
Make sure that all your health professionals are aware that you are using aspirin to reduce your risk of heart attack and clot-related strokes.
How Can Aspirin Prevent A Heart Attack Or Stroke
Aspirin slows the blood’s clotting action by reducing the clumping of platelets. Platelets are cells that clump together and help to form blood clots. Aspirin keeps platelets from clumping together, thus helping to prevent or reduce blood clots.
Most heart attacks and strokes are caused by blood clots. Blood clots can form in arteries and block the flow of oxygen-rich blood to the heart muscle or part of the brain.
When taken daily after having a heart attack or stroke, aspirin helps prevent dangerous clots from happening again.
Daily aspirin may also be helpful for preventing clots in some people who are at high risk for a heart attack or stroke if they are also at low risk of bleeding problems, which can happen more while taking aspirin because it reduces clots. That’s why it’s important to talk to your doctor before starting daily aspirin.
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What Does Aspirin Do For The Heart
It is commonly said that aspirin is good for preventing heart attack and stroke. But have we been lied to all this time? Or can aspirin in small doses be beneficial in the prevention of certain conditions. What does aspirin do for the heart, or health issues in general, if anything?
It has always frustrated me the way health and nutrition rules or recommendations fluctuate and conflict over time. Coffee is horribly unhealthyno wait1-2 cups per day are beneficial. Eggs are a definite no-no and cause huge cholesterol spikes.oh waitonly the yolks are bad for you. no, it has now been discovered that eggs are an excellent source of protein and should be enjoyed routinely. Need I go on?
However once in a while there is a scientific breakthrough that is a positive improvement to our health habits. Even those recommended by scientists and physicians for years, all with excellent intentions, can be proven wrong.
Those who declare staunchly, You cannot argue with science are correct in some cases. However new scientific breakthroughs do occur and should be accepted. Otherwise people would still believe that spraying children with Deet throughout their bodies would keep them safe from ticks and other harmful insects. Or that smoking is relaxing and perfectly safe and healthy. You get the idea.
What Are Reasons I Shouldnt Take Durlaza
You should avoid taking Durlaza if you have:
- An allergy to the medication or have ever had an asthma attack after taking an NSAID
Do not take Durlaza two hours before or one hour after drinking. Alcohol can affect the controlled release properties of Durlaza. If you drink three or more alcoholic drinks daily, you have a higher risk of bleeding with Durlaza.
Renin-Angiotensin System Inhibitors
You may take renin-angiotensin system inhibitors if you need help lowering your blood pressure. Using these types of medications with Durlaza raises the risk of kidney damage, low blood pressure, and high potassium levels.
Anticoagulants and Antiplatelets
Anticoagulants and antiplatelet medications are commonly known as blood thinners. They help keep blood clots from forming. You may bruise or bleed more easily when taking these with Durlaza. When you bleed, it may take longer to stop. Call your healthcare provider if you have bloody urine or if your stool is red or dark.
Anticonvulsants are medications used to treat seizure disorders. Some anticonvulsants are narrow therapeutic index drugs. This means small changes in dose or blood concentration may cause them not to work at all or have deadly side effects. Durlaza can interact with anticonvulsants to cause seizures or toxicity.
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How Does Aspirin Help Prevent Heart Attack And Stroke
Most heart attacks and strokes occur when the blood supply to a part of your heart muscle or brain is blocked. This usually starts with atherosclerosis, a process in which deposits of fatty substances, cholesterol, cellular waste products, calcium and other substances build up in the inner lining of an artery. This buildup is called plaque.
Plaque usually affects large and medium-sized arteries. Plaques can grow large enough to significantly reduce the blood’s flow through an artery. But most of the damage occurs when a plaque becomes fragile and ruptures. Plaques that rupture cause blood clots to form that can block blood flow or break off and travel to another part of the body. This is called an embolism.
- If a blood clot blocks a blood vessel that feeds the heart, it causes a heart attack.
- If a blood clot blocks a blood vessel that feeds the brain, it causes a stroke.
Aspirin thins the blood, which helps prevent blood clots from forming.
Certain patients will be prescribed aspirin combined with another antiplatelet drug also known as dual antiplatelet therapy . Learn more about DAPT.
Fact: Once Your Doctor Decides That Daily Use Of Aspirin Is For You Safe Use Depends On Following Your Doctor’s Directions
There are no directions on the label for using aspirin to reduce the risk of heart attack or clot-related stroke. You may rely on your health professional to provide the correct information on dose and directions for use. Using aspirin correctly gives you the best chance of getting the greatest benefits with the fewest unwanted side effects. Discuss with your health professional the different forms of aspirin products that might be best suited for you.
Aspirin has been shown to lower the risk of heart attack and stroke in patients who have cardiovascular disease or who have already had a heart attack or stroke, but not all over-the-counter pain and fever reducers do that. Even though the directions on the aspirin label do not apply to this use of aspirin, you still need to read the label to confirm that the product you buy and use contains aspirin at the correct dose. Check the Drug Facts label for “active ingredients: aspirin” or “acetylsalicylic acid” at the dose that your health professional has prescribed.
Remember, if you are using aspirin everyday for weeks, months or years to prevent a heart attack, stroke, or for any use not listed on the label without the guidance from your health professional you could be doing your body more harm than good.
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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?