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Healthy people shouldn't take aspirin daily to prevent heart disease, study says

2020-06-04T20:29:56.672Z


Do you still take aspirin daily to prevent heart attacks? You may want to think twice, based on a new scientific review.


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The side effects of consuming aspirin 2:52

(CNN) - Do you still take an aspirin daily to prevent heart attacks? You may want to think twice, based on a new scientific review.

Aspirin remains one of the most widely used medications in the world, although many health authorities no longer recommend it as a preventive.

There is no evidence that most adults in good cardiovascular health should take low-dose aspirin, less than 325 milligrams a day, according to a new review of existing research published Wednesday in the British Journal of Clinical Pharmacology.

Focusing on the risks and benefits of low-dose daily aspirin, the review found that the risk of a major bleeding event as a result of the drug's anticoagulant effects outweighs the benefit.

The orientation of EE. USA About a daily dose of aspirin changed last year, when the American College of Cardiology and the American Heart Association recommended daily aspirin only for patients who have had a heart attack, stroke, or open heart surgery. Advice in the UK is similar.

This latest analysis, which reviewed 67 studies, found that low-dose aspirin use in people without cardiovascular disease was associated with a 17% lower incidence of cardiovascular events such as heart attack or stroke.

However, it was also associated with a 47% increased risk of gastrointestinal bleeding and a 34% increased risk of skull bleeding.

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"Our article confirms that there is no evidence to take aspirin in primary prevention, that is, in healthy people," said study authors Dr. Lee Smith, a reader of Physical Activity and Public Health at Anglia Ruskin University in the United Kingdom, and Dr. Nicola Veronese, geriatrician at the University of Palermo in Italy.

"The main message of our article is that low-dose aspirin (alone) is good when you already have a cardiovascular condition."

The authors also reviewed research supporting the use of aspirin to prevent cancer, but said their review discouraged the use of low-dose aspirin in this setting.

"Low-dose aspirin is one of the most widely used drugs in the world. In addition, our overall review suggests that the weight of risks, particularly bleeding, should not be considered secondary, "said Smith and Veronese.

Millions of Americans who have never had cardiovascular disease may still be taking daily aspirin to prevent heart disease without a doctor's recommendation, despite updated guidance that it may be unnecessary and possibly risky, the study noted.

Given the variety of different interventions now available to prevent cardiovascular disease like statins, blood pressure medications, and helping to quit smoking and lose weight, the research results question the use of aspirin as a preventive.

Aspirin

Source: cnnespanol

All news articles on 2020-06-04

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