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How to Prevent a Heart Attack with Aspirin

People in their 50s or 60s at high risk for heart disease should ask their doctors about taking low-dose aspirin to prevent a heart attack.

The US Preventive Services Task Force has made a controversial recommendation with respect to aspirin for heart disease prevention.

Aspirin Pros & Cons:

For years, the evidence has shown that people who take aspirin lower their risk of heart attacks but increase their chances of bleeding ulcers or bleeding strokes. On the plus side, aspirin appears to reduce the risk of several different types of cancer, but some people are quite sensitive to aspirin and may develop nasal polyps or even anaphylactic reactions to the drug. Balancing the benefits and the risks can be complicated, and the Task Force has made a rather complex recommendation.

Who Should Take Aspirin to Prevent a Heart Attack?

The USPSTF suggests that people in their 50s or 60s at high risk of heart disease might prevent a heart attack by taking aspirin, perhaps just one low-dose tablet a day. Younger people, older people, and those at very low risk of heart disease may not reap the anticipated rewards.  As a side benefit, however, those on a regular low-dose aspirin regimen to prevent a heart attack also lower their risk of colorectal cancer.

It might take many years for this effort to prevent a heart attack to pay off. People with a life expectancy less than ten years probably won’t benefit from taking aspirin, and those with bleeding disorders or a history of ulcers should avoid it. People should talk with their doctors to determine whether aspirin is appropriate or if it might offer more risk than benefit.

Annals of Internal Medicine, April 12, 2016 

5/10/18 redirected to:  https://www.peoplespharmacy.com/articles/how-do-you-weigh-the-benefits-and-risks-of-aspirin/

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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