February 8, 2023

I’m talking about who should take aspirin to prevent stroke and heart attack, and who shouldn’t, based on new guidelines. This video is for Health Information only, not Medical Advice. Only your doctor can tell you what to do with your medications.

Hi i’m dr nathan ritter from cardiogage.com this video is an aspirin update on march 17 2019 two major heart associations in the country the acc and aha changed their recommendations for aspirin use so first of all and most importantly none of this applies to you does not apply if you have a history of heart attack stroke stent other blood vessel problem that’s

Not what all this news is about this news is about people who have never had any of those problems and take aspirin to try to decrease their chance for a stroke or heart attack so anyway that’s number one um for decades aspirin’s been recommended to decrease chance for stroke and heart attack and people have taken a baby aspirin once a day 81 milligrams thinking that

They were helping themselves but some recent studies show that the benefits of aspirin don’t outweigh the risks of bleeding either gastrointestinal hemorrhage like a bleeding ulcer that type of thing or even worse bleeding into the head so these studies did not support the use of aspirin especially in people over the age of 70. so for example um a seven year old

Woman with diabetes and high blood pressure previously took aspirin once a day um to prevent stroke and heart attack it’s no that’s no longer recommended and generally um it’s recommended to stop the aspirin of course you have to talk with your doctor about it specifically doctors are still allowed to recommend aspirin for people from the age of 40 to 70 or so who

Do not have any risks for bleeding so they’ve never had an ulcer they don’t take pain medications like ibuprofen or naprosyn which could increase their chance for bleeding um they don’t have kidney disease etc etc so certain uh people who are at low risk for bleeding and are at high risk for having stroke or heart attack still could be recommended to take aspirin

But most people really aren’t going to fall into those categories and for most people the average person taking an aspirin a day won’t be recommended so this is how i’m dealing with aspirin now in my practice if i’ve got somebody who’s been taking aspirin for 30 years and hasn’t had a stroke or heart attack and hasn’t had any bleeding it’s hard to stop it because

Basically it’s been working so if it ain’t broke don’t fix it i tend to be that type of doctor um and that would count for somebody who was 75 years old and didn’t have any other problems and had just been taking aspirin i mean that’s how i do it if somebody’s not having a problem things are working out i tend not to change things if i have a patient who i think

Is really at substantial risk substantial chance for getting a heart attack or stroke then i’ll use aspirin to try and prevent that for them even if they haven’t had a problem before some examples of people who fit that category would be somebody with a really high cholesterol like an ldl cholesterol of 190 or more that’s super high that person’s at really quite

High risk 50 or something like that for stroke or heart attack over their lifetime so i’m going to continue using aspirin for my patients who are like that another example would be someone who has a strong family history for early coronary blockage so maybe a 40 year old man whose father died at age 45 and whose uncles have all had bypass surgery or whatever um

That person i consider him to be very high risk and aspirin the use of aspirin probably the benefits outweigh the risks in that patient so there will there will certainly be um patients who i still use aspirin for to prevent stroke and heart attack those would be the people who are at the highest risk and also people who’ve successfully taken aspirin for decades

I’m not going to pull the carpet out from under them and get get rid of the aspirin it doesn’t make sense to me if something hasn’t caused any trouble and nothing bad’s happened while i’ve been taking it then i would continue it um so that’s how i am going to be using aspirin it’s worth repeating that none of this stuff applies to you if you’ve already had a

Blood vessel problem stroke heart attack stent um i’ve had so many my patients who like had a stent put in six months ago and they’re saying oh i hear aspirin’s not good for me should i be stopping it um no don’t stop it if you’ve had those types of problems anyway thanks for watching do me a solid hit that subscribe button and thumbs up it helps get the feedback and see you next time

Transcribed from video
Aspirin Update 2019: Who should take aspirin now? Who shouldn't? By CardioGauge