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Why aspirin is no longer widely recommended to stop a heart attack

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The doctor used to give advice People at risk of heart attack Start taking “Baby” Aspirin (in fact Low-dose aspirin as a prophylactic drug).But that practice was gained Less common over time, And now, the US Preventive Medicine Commission often states that risk outweighs benefit.

If you are currently taking low doses of aspirin to prevent a heart attack, do not stop because of this recommendation..Talk to your doctor first, all right?New recommendations that are not yet final will be advised That doctor Does not start Low-dose aspirin for people over 60 prevention. On the other hand, if you are 40-59 years old They say the question of whether to start taking aspirin is one Physicians should be created on a case-by-case basis, patient-by-patient Basic.

What has changed?

Here is a draft recommendation from the USPSTF.. You can read what they recommend and why. This type of document is draft because it must go through a public comment process before it is considered final.

NS Previous guidelinesSince 2016, we have recommended that people aged 50-59 years take low-dose aspirin to prevent cardiovascular disease and colorectal cancer. They met certain requirements. Should have been recommended for people aged 60-69 There wasn’t enough evidence to say either, on a case-by-case basis, and for people outside those age ranges...

Why did the recommendations change?

All drugs have risks and benefits. The advantage of aspirin is that it thins the blood and can help prevent blood clots that occur in a heart attack. The risk of aspirin is that thinning the blood can increase the risk of bleeding, such as bleeding in the stomach or brain.

As President of the American Heart Association Told the New York Times, Learned more about the risk of bleeding. This changes our understanding of the balance between risk and benefit. The benefits of the equation have also changed. When aspirin was first recommended in the late 1980s, there weren’t many effective ways to reduce the risk of heart disease.

The new recommendations are, in a sense, not very new. The USPSTF is currently only changing guidelines, but providers are enthusiastic That direction for a while.For example, the American Heart Association Say on the patient’s website that “[b]Due to the risk of bleeding, aspirin therapy is not recommended unless you have had a heart attack or stroke, except in certain carefully selected patients. “

The conclusion here has not changed. Talk to your doctor about whether you should take aspirin as a preventative drug. Do not start or stop yourself. Keep in mind that your doctor may be less likely to start you with aspirin now than if you asked a few years ago.

(While we were here, low doses of aspirin were formerly called “baby aspirin,” but this is another thing that has changed over time.Aspirin should not be given to babies at all Because of the risk of Reye’s syndrome.. The warning was issued in the early 1980s, and by the end of the decade, at least one major manufacturer of baby aspirin—St. Joseph —Had Shifted to marketing products for heart disease prevention.. )

Why aspirin is no longer widely recommended to stop a heart attack

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