Taking low-dose aspirin as a preventative for heart attack or stroke is no longer recommended for adults age 70 or over, according to new guidelines.
found that even at low doses, long-term use of aspirin may be harmful — without providing any benefit — for older people who have not already had a heart attack or stroke.
“Clinicians should be very selective in prescribing aspirin for people without known cardiovascular disease,” said Dr. Roger Blumenthal, co-chair of the 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease, in a statement. “Aspirin should be limited to people at the highest risk of cardiovascular disease and a very low risk of bleeding.”
The committee reminded individuals 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,” said Dr. Steven Nissen, chairman of the department of cardiovascular medicine at the Cleveland Clinic. “For patients without heart disease, the risks of aspirin, primarily bleeding, are significant. For most patients without heart disease at moderate risk, the benefits do not exceed the risks.”
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