junio 14, 2024


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The U.S. Working Group recommends that adults 60 and older should not take aspirin daily to prevent heart disease or stroke

Tuesday, The The working group released a draft report Adults between the ages of 40 and 59 who are at high risk for heart disease are recommended – but have no history of the disease – to decide whether to start taking aspirin based on their individual circumstances.

This is the first time the team has recommended that adults over the age of 40 talk to their doctors about taking aspirin for heart health.

The draft states that adults over the age of 60 and over should not start taking aspirin to prevent heart disease and stroke because the new evidence negates the potential disadvantages and benefits, the panel said.

«Recent evidence is clear: starting a daily aspirin regimen is not recommended for people 60 or older to prevent the first heart attack or stroke,» said team member Dr. Xien-Weng Cheng in a statement. «However, this working group recommendation is not for people who are already taking aspirin for a heart attack or stroke; otherwise they should continue to do so unless told by their doctor.»

The draft recommendation has been released for public comment and can be submitted from now until November 8th.

Is heart disease The main cause of death In the United States, it causes 1 in 4 deaths. Although daily low-dose aspirin has been shown to reduce the risk of heart attack or stroke in some people, doing so carries with it the risk of bleeding in the stomach, intestines and brain, the team said. . The risk of bleeding increases with age.

«Daily aspirin use can help prevent heart attacks and strokes in some people, but it can also cause serious side effects such as internal bleeding,» team member Dr John Wong said in a statement. «It’s important for people between the ages of 40 and 59 who do not have a history of heart disease to have a conversation with their doctor to decide if it’s right for them to start taking aspirin.»

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When the task force last recommended daily aspirin use in 2016, the decision to start taking low doses of aspirin was said to be «separate» for people between the ages of 60 and 69. At that time, working 50% to 59% of adults between the ages of 10% or higher risk of heart disease and daily low-dose aspirin that does not increase bleeding is recommended.

The new draft recommendation will improve the task force 2016 Final Recommendation for Aspirin Use Prevent heart disease and colon cancer – but the new draft focuses only on preventing heart disease and requires more research on taking aspirin to prevent colon cancer.

Other groups have previously pointed out the benefits of lowering daily aspirin risks.

In 2019, the American College of Cardiology and the American Heart Association Published guidelines Saying that Daily low doses of aspirin are no longer recommended As a preventative for the elderly who are not at high risk or have existing heart disease.
In 2018, a Three studies published in the New England Journal of Medicine The daily low-dose aspirin regulation suggests that it does not provide significant health benefits for healthy older people. On the contrary, it can cause them serious harm.