Is aspirin still prescribed to prevent heart disease?

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Over the past decade, medical advice regarding the daily use of low-dose aspirin as a primary prevention of heart disease has changed dramatically. Aspirin, known for its anticoagulant effects, initially gained popularity for helping to prevent the formation of clots that can lead to heart attacks and strokes. However, recent research is providing a new perspective that could change the behavior of many healthcare professionals and patients.

Although aspirin is still frequently used as a secondary prevention in patients who have already had a heart event, guidelines for its use in primary prevention in healthy individuals have become more stringent, particularly in the UK. This stems from studies indicating significant risks associated with its use, such as serious bleeding.

Why are aspirin guidelines changing?

Historically, aspirin Preventing a first heart attack or stroke in people with no previous history of cardiovascular disease is widely recommended. However, organisations such as the National Institute for Health and Care Excellence (NICE) in the UK have revised their recommendations based on new studies.

What are the risks associated with regular use of aspirin?

A study published in the Journal of the American Medical Association noted that in healthy older adults, aspirin Not only did it fail to significantly reduce the incidence of heart attacks or strokes, it also increased the risk of fatal bleeding. These data suggest that for those without a history of cardiovascular disease, the risks may outweigh the benefits.

When is it recommended to take aspirin?

There is still a clear indication of its use. aspirin In secondary prevention. For people who have already had a heart attack or stroke, aspirin can remain a vital part of their medical regimen to prevent future events. This is supported by studies and guidelines that highlight the importance of aspirin for these patients, despite the risk of bleeding.

However, even among these patients, the need for careful evaluation is critical, especially among older patients. Research suggests that individuals aged 75 years or older have a higher incidence of bleeding complications when taking continuous aspirin therapy.

• Always consult your doctor before starting or stopping aspirin use.
• Reevaluate your medical treatment periodically, especially if you are entering the senior age group.
• Maintaining a healthy lifestyle, with a balanced diet and regular exercise, as complementary preventive measures.

In light of these changes and discoveries, it is increasingly important for patients to consult their physicians about the use of aspirin, weighing the benefits and risks according to their individual health condition. Although aspirin remains a valuable tool in medicine, its use must be increasingly judicious and personalized.