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Advice on the use of aspirin to prevent heart attack

Older adults without heart disease should not eat less daily Aspirin To prevent the first heart attack or stroke, an influential group of health guidelines said in an initial update of advice released on Tuesday.

The risk of bleeding for adults 60 years and older who have not had a heart attack or stroke outweighs the potential benefits. AspirinThe U.S. Preventive Services Task Force said in its draft guidance.

For the first time, the panel said there could be a small benefit for adults over the age of 40 who are not at risk of bleeding. For people in their 50s, the panel softened the advice, saying the evidence of benefit was less clear.

The recommendations are for people with high blood pressure, high cholesterol, obesity or other conditions that increase their chances of having a heart attack or stroke. Regardless of age, adults should talk to their doctors about stopping or starting. Aspirin Dr. John Wong, a member of Tufts Medical Center’s Primary Care Expert Task Force, said it was the right choice for him.

Aspirin Use can cause serious harm, and the risk increases with age.

If finalized, the advice for older adults will reverse the recommendations of a panel released in 2016 that helps prevent heart attacks and strokes in the first place, but will follow recent guidelines from other medical groups. ۔

Doctors have long recommended a lower daily dose. Aspirin For many patients who have already had a heart attack or stroke. The guidance of the task force does not change this advice.

The task force had earlier said one daily. Aspirin Some adults in their 50s and 60s may even be protected from colorectal cancer, but the latest guidelines say more evidence of any benefit is needed.

The guide was posted online to allow public comment until November 8.

An independent panel of disease prevention experts analyzes medical research and literature and periodically advises on measures to help keep Americans healthy. New studies and re-analysis of old research have encouraged the latest advice, Wong said.

Aspirin It is known to relieve pain but it is also a blood thinner that can reduce the chances of blood clots. But Aspirin There are dangers, even on a low diet بنیادی mainly bleeding in digestion or ulcers, both of which can be fatal.

Dr. Lauren Block, an internist-researcher at the Feinstein Institute for Medical Research in Manhattan, New York, said guidance is important because many adults Aspirin Although he has never had a heart attack or stroke.

Block, who is not on the task force, recently replaced one of his patients. Aspirin Cholesterol-lowering statins due to possible side effects.

The patient, 70-year-old Richard Schraffel, has high blood pressure and is aware of the risks of his heart attack. Sharafil, president of the Paper Board Distribution Business, said they had never had a bad effect. AspirinBut he is taking the new guidance seriously.

Rita Seifieldt, 63, also has high blood pressure and takes it daily. Aspirin For almost a decade until his doctor told him to stop two years ago.

“He said he changed his mind about it,” recalled a retired elementary school teacher from Milwaukee. She said she believes science is evolving.

Wong acknowledged that retreating could leave some patients frustrated and wondering why scientists can’t make up their minds.

“It’s a fair question,” he said. “It’s really important to know that the evidence changes over time. ”


The Associated Press Health and Science Department is supported by the Department of Science Education at Howard Hughes Medical Institute. The AP is fully responsible for all content.

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