A new study suggests that aspirin use for cardiovascular disease prevention remains high among older adults, despite risks and updated guidance. Some seniors across the United States continue to take a daily aspirin in the hopes of reducing their cardiovascular disease risk, even though the practice is only recommended for certain high-risk patients — and taking it without a doctor’s recommendation can come with significant risks.
Yet several doctors say that despite the risks, some of their patients continue to follow the outdated guidance and take a daily low-dose aspirin when it’s not recommended. Among those regularly taking aspirin, 89 per cent reported taking a low-dose aspirin, according to the survey, while 11 per cent indicated they take regular strength aspirin, which makes their risk of excessive bleeding even higher.
“But think back at what else was happening at those times. We didn’t really use statins in very many patients. We weren’t doing a good job controlling blood pressure. And so aspirin, as the final safety net for preventing a heart attack or stroke, because it prevents blood clot formation, aspirin had room and it had space to work,” Lloyd-Jones said.
“It’s really important that we’re crystal clear and precise that people who’ve had a heart attack or a stroke or who have a stent should be taking aspirin,” he said. “I’ve had my own patients come back and say, ‘Oh yeah, I saw the news. I stopped my aspirin,’ and that’s dangerous.
Dr. Howard Weintraub, a preventive cardiologist at NYU Langone Health in New York, said that he has seen among his own patients that some older adults continue to regularly take aspirin to prevent cardiovascular disease despite the shift in guidance. “They should disclose that they’re using it. They should have a conversation with their primary or cardiologist, whoever is in their mind trustworthy, and come to an understanding as to how they should go forward,” Weintraub said. “Adopting a more personalized, individualized course of therapy may have a great benefit.”
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Source: Healthcare Press (healthcarepress.net)
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