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Study: Millions need to release aspirin for heart disease



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In this archive image on Thursday, August 23, 2018, several aspirins are shown in New York.

In this archive image on Thursday, August 23, 2018, several aspirins are shown in New York.

AP Photo

WASHINGTON

Millions of people who ingest aspirin to prevent a heart attack may need to reconsider their habits, according to researchers from Harvard.

People who have already had a heart attack or cardiovascular episode, as well as those who have had a heart disease diagnosis, are advised a low dose of aspirin each day.

But for people who are healthy, this recommendation could have harmful effects. This year, guidelines have been published that exclude the usual use of aspirin for many older adults who do not suffer from heart disease and emphasize that this is only for some younger people and for medical tasks.

How many people have to receive the message?

Approximately 29 million people in the United States, at least 40 years of age, had one aspirin per day in 2017, although they did not have known heart disease. Dr. Beth Israel Deaconess. Approximately 6.6 million of these people did this without a doctor's recommendation.

Almost half of people who are at least 70 years of age who do not suffer from heart disease, that's about 10 million, have been taking aspirin every day as a preventative measure, researchers in the Annals of Internal Medicine reported.

"It interferes with many patients," said Dr. Colin O'Brien, Senior Resident of Internal Medicine in Beth Israel, who led the report.

After all, doctors have been calling people for years to take advantage of the anticoagulant properties of aspirin in order to reduce the chance of a first heart attack. Last year, three surprising new studies were published, which called into question this starting point. These reports are the most comprehensive and thorough in testing the effects of aspirin in people with a low and moderate risk of heart attack and have discovered only marginal benefits, if anything, especially among the elderly. However, aspirin users had a marked increase in gastrointestinal bleeding and other adverse reactions.

In March these findings led to a change in the guidelines of the American Heart Association and the American College of Cardiology:

– People over 70 years of age who have no heart disease – or are younger, but with a higher risk of bleeding – should stop daily intake of aspirin.

– Only some people between the ages of 40 and 70 who do not yet have heart disease have a high risk of earning 75 to 100 milligrams of aspirin per day if the doctor so decides.

Nothing has changed for surviving heart attacks: the use of aspirin is still recommended.

However, it is not possible to know how many healthy people found out about new recommendations.

"We expect more doctors to talk to their patients about the use of aspirin and more patients to put this question to their doctors," said O Brien.

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