The American College of Cardiology requests that this document be cited as follows: Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, Himmelfarb CD, Khera A, Lloyd-Jones D, McEvoy JW, Michos ED, Miedema MD, Muñoz D, Smith SC Jr, Virani SS, Williams KA Sr, Yeboah J, Ziaeian B.
If you’re old & healthy, don’t turn to daily low-dose aspirin for reducing risk of stroke & heart attack.
On Sunday, American College of Cardiology announced guidelines that doesn’t recommend older adults who don’t suffer existing heart disease to take those aspirins.
“For the most part, we are now much better at treating risk factors such as hypertension, diabetes and especially high cholesterol. This makes the biggest difference, probably negating any previously perceived aspirin benefit in primary prevention”, Dr. Kevin Campbell – North Carolina cardiologist
Doctors consider aspirin for high-risk patients who have trouble lowering cholesterol or managing blood sugars.
European guidelines are against usage of anti-clotting therapies like aspirin at any age.
“Clinicians should be very selective in prescribing aspirin for people without known cardiovascular disease. It’s much more important to optimize lifestyle habits and control blood pressure and cholesterol as opposed to recommending aspirin”, Dr. Roger Blumenthal – John Hopkins cardiologist
Using aspirin is a class 2b recommendation in younger age groups which means its not the necessary course of action as data is not definitive.
However, Campbell believes in advocating risk-factor modification, healthy lifestyle & smoking cessation before considering aspirin therapy without known cardiovascular disease in a patient.
“Ultimately, we must individualize treatment for each patient, based on their individual situation”