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By Dr. Shamar Charles
according to the recommendations published on Sunday.
The recommendations issued jointly by the American College of Cardiology and the American Heart Association are a reversal of previous guidelines that have approved the adoption of aspirin for the prevention of cardiovascular problems in adults over 50 years of age. The two groups agreed that in older people at low risk ̵
The change comes after a major international study that found that even at low doses, continued use of aspirin may be harmful – without any benefit – to older people who have not yet had a heart attack or stroke. 19659007] "Clinicians should be very selective in prescribing aspirin to people without known cardiovascular disease," says Dr. Roger Blumenthal, co-chair of ACC / AHA in 2019 for primary prevention of cardiovascular disease. "Aspirin should be restricted to people with the highest risk of cardiovascular disease and a very low risk of bleeding."
The Committee reminded people that a healthy lifestyle is the most important way to prevent the onset of atherosclerotic cardiovascular disease, heart failure. and atrial fibrillation.
"The guidelines reinforce what we have known for more than a decade," says Dr. Stephen Nisen, chair of cardiovascular medicine at the Cleveland Clinic. "For patients without heart disease, the risks of aspirin, predominantly bleeding, are significant. For most patients without moderate-risk heart disease, benefits do not outweigh the risks. "
Earlier this year AHA published a statistical update showing that nearly half of adults in the US have some form of cardiovascular disease. The increased risk is mainly due to high blood pressure.
"We follow the dictum in medicine for" do not harm "and aspirin is not benign," says Dr. Clyde Jansi, director of cardiology at the Northwest Memorial Hospital. Chicago. "Understanding how best to use aspirin or another medicine is a kind of refinement that allows for the best health."
Almost 80% of all cardiovascular diseases can be prevented by lifestyle changes, according to the Heart Association. Doctors recommend regular physical activity and follow-up plant diets such as DASH, a diet plan that highlights fruits, vegetables, and whole grains to reduce the risk of heart disease