If a stressed-out High-Performer slowly in the years, some of them classic from the medicine Cabinet: a Daily Aspirin in low dose is to prevent your troubled heart is flabby. Even if the doctor advises specifically to see people, especially men, the pill in between, as an effective means of prevention.
Whether Aspirin for primary prevention – that is, when previously there was no infarction, stroke, or other cardiovascular suffering, can actually be of help, however, is not clearly say, as an analysis in the journal JAMA shows. The potential damage is similar to Use in size as possible.
So the cardiologist Sean Zheng from Imperial College, and Alistair Roddick from King’s College in London show that the probability for a stroke or heart attack makes use of the blood thinner a bit lower. However, the effect is quite low, the risk is reduced by only 0.38%. This means in other words that 265 adults would daily swallow an Aspirin tablet, one of them a cardiovascular event is prevented. Conversely, the risk for major bleeding on Aspirin increases to 0.47 per cent. That is the equivalent of that of 210 patients treated threatening bleeding.
“contrary to recommendations”
“Because the role of aspirin for the primary prevention is unclear, there are sometimes even contrary recommendations,” conclude the authors. During the European society of cardiology cardiovascular healthy is not recommended as a preventive measure, Aspirin, considers this the US Preventive Services task force, however, is appropriate – at least between the ages of 50 and 69 years, and if the cardiovascular risk for the next ten years is more than ten percent.
to Determine the probability of getting a stroke or a heart attack, using calculations and Scores, in the various risk factors such as hypertension, Diabetes, family stress, and increased blood fat values.
“to Listen to patients, to Smoking, and lower their blood fats, reduces your cardiovascular risk.”To prevent Michael Gaziano, Harvard medical
For the secondary prevention – so to have a second heart attack or stroke is the Use of a daily Aspirin, however, is better. For years, it is known that Aspirin inhibited agglomeration of blood platelet, a dangerous Vascular obstruction in the heart or brain less likely, if such has already occurred once. This advantage outweighs the potential disadvantages due to bleeding.
the same applies in the case that it should acute come to a heart attack or stroke. Then Aspirin can relieve the consequences, and this effect already within a few days. In this short time, the potential bleeding risks are extremely low, so that here the possible Benefit outweighs.
the harm-Benefit balance, as in the case of primary prevention by Aspirin, however, not clear, Doctors recommend for individual consideration. “The risk is not static”, calling the Harvard physician Michael Gaziano, in a commentary in memory. “To hear patients to smoke, reduce blood fat and adopt a healthier lifestyle, reduce your cardiovascular risk.”
in Addition, can provide the risk calculator a distorted image. In regions such as Europe and North America, they overestimate the risk, because the Rate of cardiovascular suffering been declining for years. In other Parts of the world, where the risk increases and other medications are too expensive, could Aspirin be valuable in primary prevention.
(editing Tamedia)
Created: 25.01.2019, 16:28 PM
