Docs Back Away From Low-Dose Aspirin for Heart Attack Prevention

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Taking a low-dose aspirin every day has always been known to cut the chances of another heart attack, stroke or other heart problem in people who already have had one, but the risks don't outweigh the benefits for most other folks according to new guidelines.

Experts say that adults don't need to take the daily aspirin anymore because it is much easier to directly treat the risk factors for heart attacks and strokes such as hypertension, diabetes and high cholesterol.

This study doesn't show whether or not aspirin prevents heart disease - rather, it shows that its risks might cancel out its benefits.

Think the guidelines really are emphasizing the things we already know that our drugs for high blood pressure and cholesterol are working very well so when we combine that with other lifestyle measures like quitting smoking which causes high nflammation and eating a balanced diet and getting a lot of exercise we are well on our way to reducing heart disease.

For people who've had a heart attack, stroke, open heart surgery or stents placed to open clogged arteries, aspirin can be lifesaving.

New guidelines say aspirin should rarely be used to prevent cardiovascular disease.

The findings revealed that 90.3 percent of participants who were treated with 100 milligrams of low-dose aspirin every day were still alive at the end of treatment without "persistent physical or dementia, compared with 90.5 percent of those taking a placebo", the press release states.

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The 2018 ASPREE study recruited nearly 20,000 people mostly over the age of 70 in the US and Australia, hoping to study the effects of long-term, low-dose aspirin use.

The guidelines suggest rather than turing to aspirin to prevent a heart attack or stroke everyone should be smarter about their health in general.

"Clinicians should be very selective in prescribing aspirin for people without known cardiovascular disease", Roger S. Blumenthal at Johns Hopkins Medicine.

Another tested aspirin in people with diabetes, who are more likely to develop or die from heart problems, and found that the modest benefit it gave was offset by a greater risk of serious bleeding. At worst, it may raise their risk of internal bleeding and early death.

'The results demonstrate that there are cardiovascular benefits, but that they are quite closely matched by increased risks of serious bleeding, ' said lead study author Dr. Sean Zheng of King's College London and Imperial College London.

According to the new guidelines, all of the steps listed above can help you stick to another recommended goal: maintaining a healthy weight.

"Statins should be commonly recommended with lifestyle changes to prevent cardiovascular disease among people with elevated low density lipoprotein [LDL] cholesterol levels at or above 190 mg/dl", the two groups explained in the statement.

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