There was a fair amount of consensus in the medical community that taking a daily baby aspirin, which contains about 81 milligrams compared to the 325 milligrams in an adult pill, could help prevent cardiovascular issues. By reducing the clotting action of platelets, aspirin can possibly prevent a heart attack. Platelets are important because they are blood cells that stick together and block cuts and breaks in blood vessels. It slows the clotting action of the blood by making platelets less sticky. Preventative Services Task Force, an independent panel of primary care physicians, issued draft guidelines recommending people with low to moderate risk of heart disease should no longer take low-dose aspirin unless a doctor deems that the benefits outweigh the risks for the individual patient.Īspirin is known to prevent blood clots from forming. That position was buoyed in October when the U.S. The association says no one should take aspirin daily without first consulting with a doctor. After those studies surface, the American Heart Association revised its guidance on the issue, stating aspirin therapy is not recommended for those who have never had a heart attack or stroke, except for certain carefully selected patients. Nonetheless, the notion that aspirin promotes heart health for everyone, particularly seniors, has lingered. In 2018, studies began to suggest that aspirin therapy isn’t for everyone. However, there is mounting evidence that doing so is a ritual that doesn’t always enhance health, and it can be associated with a higher risk of severe bleeding. Surveys indicate nearly 30 million Americans over the age of 40 take low-dose aspirin daily, more than 6 million of them without a doctor’s recommendation. It might not be as well-known as the one about an apple keeping the doctor away, but millions of Americans use aspirin in hopes of warding off cardiovascular disease. "But if you're very low risk, the benefits of aspirin likely don't outweigh the risk" of increased bleeding.It is an adage embraced by many: A baby aspirin a day keeps a heart attack away. "For all those people, they should take aspirin for the long haul, because the benefits outweigh the risk," Gaziano said. It makes sense for people at high risk of heart problems to take aspirin, he concluded. "In this study they had many more strokes than heart attacks, which is not something you'd see in a U.S. Japanese people "tend to have fewer heart attacks and more strokes, particularly more hemorrhagic strokes," Gaziano said. In addition, Gaziano noted that there are major differences in heart-related disease between people in Japan and people in the United States. Shimada added that there appeared to be a trade-off in risks: people who didn't take aspirin were at increased risk of "mini-strokes" and chest pain (angina), while people taking aspirin were more likely to experience dangerous bleeding. Shimada noted during his presentation that "the possibility that aspirin does have a beneficial effect cannot be excluded," given the early end of the trial.īut the findings did show no significant difference in deaths, heart attacks and strokes for people taking aspirin, he said.
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