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Daily Aspirin Regimen May Cause Bleeding - The New York Times

Daily Aspirin Regimen May Cause Bleeding - The New York Times

Daily Aspirin Regimen May Cause Bleeding - The New York Times
May 21, 2022 1 min, 45 secs

Millions of Americans take aspirin to prevent a first heart attack or stroke.

He recommended a daily low-dose aspirin for heart health, she recalled.

He had heard of other people his age taking prophylactic aspirin, so he “just went with it,” he said.

For three decades, the United States Preventive Services Task Force, an independent and influential panel of experts, has been reviewing the growing evidence of aspirin use for preventing first heart attacks and strokes.

The panel warned adults over 60 against starting an aspirin regimen for primary prevention.

People taking aspirin for secondary prevention — because they have already had a heart attack, stroke or intervention like stenting or bypass surgery — face higher risk of subsequent cardiovascular events, and aspirin might remain part of their treatment.

For adults aged 40 to 59, the net benefit of taking aspirin daily would be small, the task force concluded.

They may choose to start a daily aspirin regimen if, based on widely used health calculators, they face a 10 percent or higher risk for cardiovascular disease over the next decade, but that should be an individual decision.

Among those over 70, more than 45 percent take aspirin for primary prevention, probably representing significant overuse.

Khera helped develop similar guidelines for the American College of Cardiology and American Heart Association, which recommended against routine aspirin use for primary prevention in people over 70.

The American Geriatrics Society’s Beers Criteria, a list of medications considered inappropriate for older patients, is also considering recommending that “most older adults” avoid starting aspirin for primary prevention?

Preventive Services Task Force’s position on aspirin use for prevention has seesawed over the decades, noted Dr.

The task force initially recommended in 1989 that patients consider aspirin, then backed off, calling the evidence insufficient.

For people over 60, per the task force guidelines, or 70, per the cardiologists’ recommendations, the risks of starting aspirin now outweigh the benefits.

The 2016 task force recommendation raised the possibility that aspirin might play a role in preventing colon cancer.

The task force had frustratingly little to say, however, about people over 60 stopping aspirin if they have already begun taking it for primary prevention.

Summarized by 365NEWSX ROBOTS

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