Panel says aspirin use to prevent heart attacks or strokes should be stopped

 

In a stunning  reversal, updated guidelines and warnings have been updated about those taking aspirin who do not have a history of heart disease or stroke should not take baby aspirin. The baby aspirin is a blood thinner.

Cardiovascular disease (CVD) is the leading cause of mortality in the United States, accounting for about 1 in 3 deaths. Each year, an estimated 605,000 Americans have a first heart attack and about 610,000 experience a first stroke.

For adults ages 40 to 59 years with a 10% or greater 10-year cardiovascular disease (CVD) risk- The decision to initiate low-dose aspirin use for the primary prevention of CVD in adults ages 40 to 59 years who have a 10% or greater 10-year CVD risk should be an individual one. Evidence indicates that the net benefit of aspirin use in this group is small. Persons who are not at increased risk for bleeding and are willing to take low-dose aspirin daily are more likely to benefit.

The USPSTF recommends against initiating low-dose aspirin use for the primary prevention of CVD in adults aged 60 years or older.

The USPSTF concludes with moderate certainty that aspirin use for the primary prevention of CVD events in adults ages 40 to 59 years who have a 10% or greater 10-year CVD risk has a small net benefit.

Bleeding Risk

The risk for gastrointestinal bleeding, intracranial hemorrhage, and hemorrhagic stroke, with or without aspirin use, increases with older age. Other risk factors include male sex, diabetes, and a history of gastrointestinal issues (such as peptic ulcer disease), liver disease, smoking, and elevated blood pressure. Certain medications, including nonsteroidal anti-inflammatory drugs, steroids, and anticoagulants, increase the risk of bleeding.9-12 These risk factors should be considered in the overall decision about whether to start or continue aspirin therapy.

Read the full report at  U.S. Prevention Services Task Force

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