After decades of recommending that men over 50 and women over 60 take a low-dose aspirin to prevent heart attacks and stroke, the American College of Cardiology and the American Heart Association scrapped that popular prescription on Sunday. New Guidelines On Low-Dose Aspirin Therapy Doctors may still prescribe aspirin for some older patients with increased risk for heart diseases, including those who have trouble managing their blood sugar or lowering their cholesterol, provided there is no increased risk for internal bleeding.
Doctors say they may still consider aspirin for certain older high-risk patients.
"It's much more important to optimize lifestyle habits and control blood pressure and cholesterol as opposed to recommending aspirin", said Blumenthal.
In fact, a 2017 research by Swedish scientists found that those who suddenly stopped taking aspiring had become 37 percent more at risk for stroke and heart attack. The study also notes that the study's findings do not apply to people "with a proven indication for aspirin such as stroke, heart attack or other cardiovascular disease".
The American College of Cardiology and the American Heart Association are recommending that low-dose aspirin be used strictly on a case by case basis. Speaking with CNN, he said that advances in cardiovascular care may have also rendered daily aspirin an obsolete treatment for the average person.
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Only select people with a high risk of cardiovascular disease and low risk of bleeding might continue using the painkiller as a preventative, as told by their doctor, Blumenthal said.
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. A dose of 75 to 100 mg daily is recommended for those who previously had a cardiovascular episode or those diagnosed with the disease.
USA doctors have long advised adults who haven't had a heart attack or stroke but are at high risk for these events to take a daily aspirin pill, an approach known as primary prevention. The higher death rate in the aspirin-treated group was due primarily to a higher rate of cancer deaths. There is still a role for aspirin in other select people.
Michos said she had been telling her patients who do not have cardiovascular disease to stop taking aspirin.
The guidelines stress that statins - along with lifestyle changes such as a heart-healthy diet, regular exercise, weight loss and avoiding smoking or vaping tobacco - should be used to prevent heart disease in anyone with LDL levels of more than 190 milligrams per deciliter. 'If you're healthy, it's probably not worth taking it'.