The results of a new study dispute the long held belief that a daily low-dose aspirin helps prevent cardiovascular events in older people with risk factors who have not yet had a stroke or heart attack.
“For patients with a history of heart attack or stroke, previous research is clear and has shown that the benefits of daily aspirin use outweigh the risks. The US Preventive Services Task Force recommends “initiating low-dose aspirin use for the primary prevention of cardiovascular disease and colorectal cancer in adults aged 50 to 59 years who have a 10% or greater” risk of cardiovascular disease. Over age 60 the task force is less prescriptive.”
My folks have been doing the baby aspirin for decades. They tried to get me to do it. My physician said no need, more harm than good unless you are high risk for a heart attack. This was about 2 years ago. She concurred with the article linked.
Among other things, aspirin reduces the tendency of blood to clot. This can reduce the risk of problems due to undesired clotting (e.g. heart attacks or strokes due to clots blocking important arteries), but can increase the risk of problems due to failure to clot (including such things as hemmorrhagic strokes).
So the risk of major hemorrhage from aspirin is fairly low, only 1.38 times the control group, but the lack of benefit is surprising given the documented benefit for people who have already had a stroke or heart attack.
And just yesterday a cardiologist looked me in the eye and asked my why I wasn’t taking a statin! Well, Dr., everyone so far has told me that I don’t need to be thinking about that yet.
I don’t have time to do the research this week. Maybe I can coax Happydad into reading the journal articles for me.