Taking low-dose aspirin as a preventative for cardiac arrest or stroke is no longer suggested for people age 70 or over, according to new reports released Sunday.
The suggestions, released collectively by the American College of Cardiology and the American Heart Association, are a turn around of previous guidance that endorsed taking a child aspirin daily to avoid cardiovascular problems in people over age 50. Both groups agreed that for older adults with low risk– no prior history of heart attack or stroke– the risk of intestinal bleeding outweighs any heart advantage.
The change comes after a significant international study found that even at low dosages, long-term use of aspirin might be damaging– without providing any advantage– for older individuals who have not currently had a heart attack or stroke.
” Clinicians need to be very selective in recommending aspirin for people without known heart disease,” said Dr. Roger Blumenthal, co-chair of the 2019 ACC/AHA Guideline on the Main Avoidance of Heart Disease, in a declaration. “Aspirin needs to be limited to individuals at the highest danger of heart disease and a very low danger of bleeding.”
The committee reminded individuals that a healthy way of life is the most crucial method to avoid the onset of atherosclerotic heart disease, cardiac arrest, and atrial fibrillation.
” The standards enhance what we have understood for more than 60 years,” stated Dr. Steven Nissen, chairman of the department of cardiovascular medicine located at the Cleveland Center. “For patients without cardiovascular disease, the risks of aspirin, mainly bleeding, are considerable. For many patients without cardiovascular disease at moderate risk, the advantages do not exceed the risks.”
Previously this year, the AHA released a statistical upgrade showing that nearly half of United States adults have some form of cardiovascular disease. The increased threat was mostly connected to high blood pressure.
” We follow a dictum in medicine of ‘do no damage’ and aspirin is not benign,” said Dr. Clyde Yancy, chief of cardiology at the Northwestern Memorial Medical Facility, in Chicago. “Understanding how finest to use aspirin, or any other medication, is the type of refinement that enables our finest health.”
Almost 80 percent of all heart disease can be prevented with lifestyle modifications, according to the Heart Association. Doctors recommend routine exercise and following plant-based diet plans such as DASH, a meal strategy that stresses fruits, veggies and whole grains to lower heart disease risk.