Would 75mg aspirin be beneficial in preventing heart disease?

Question

If you are female over 45 with no PMH, known to have a healthy blood pressure, ie 105/57, should you take 75mg aspirin for prevention?

FMH +Has 2 brothers, 1 well the other has hypertension.
mother died age 37 from IHD, was insulin diabetic. but all her brothers and sisters have devloped NIDD, but still alive and well.
Father no PMH with all his family living well in to their late nineties.

Answer 1

Sorry but there is no Yes or No answer for this Q.
This is about primary prevention (as the person in question doesnt have any history of heart problem).

The best guidelines about prevention in the US are provided by USPSTF (U.S. Preventive Services Task Force). This is what they say about use of Aspirin in people who dont have heart-problem history:
"The USPSTF found good evidence that aspirin decreases the incidence of coronary heart disease in adults who are at increased risk for heart disease. They also found good evidence that aspirin increases the incidence of gastrointestinal bleeding and fair evidence that aspirin increases the incidence of hemorrhagic strokes. The USPSTF concluded that the balance of benefits and harms is most favorable in patients at high risk of CHD (5-year risk of greater than or equal to 3 percent) but is also influenced by patient preferences."
Here is the direct link for this paper....
http://www.ahrq.gov/clinic/3rduspstf/aspirin/asprr.htm

Now as we can see a strong FH of diabetes and IHD would mean a higher risk.
But is this risk sufficient enough to start Aspirin (specially when you are healthy with good BP)??!!
This Q can be best answered by a doctor after full examination and investigation.

Check this excellent link to calculate the cardiovascular risk in a person.....
http://www.intmed.mcw.edu/clincalc/heartrisk.html

Hope this will throw some light on your query.
Cheers...

Answer 2

1

Answer 3

2

Answer 4

Vicky Pollard answer, yea but no but yea but.

This is a very complex question and studies have been looking at aspirin in patients with no apparent risk factors since the 'Doctors' study in the USA in the 50's.

A recent 'Nurses study' completed on a large population of well nurses looked at over 24 years ( I thing that was the timescale from memory) Showed a marked decrease in cardiac events and deaths. The answer is not as simple as that though, as with all aspirin studies, there is a definite morbidity and mortality due to bleeding from the aspirin.

The risk benefit ratio has to be considered for each individual, i.e. the benefit with regard to heart disease as against the risk due to bleeding.

Answer 5

Any medications are not to be taken without a doctors prescription. Aspirin is very good in preventing heart disease but it can also cause other problems in the long run. It can cause gastric bleeding. I have seen loads of my patients having a bleed from their stomach due to long-term aspirin intake. I advise you to see your doctor. If you are not too keen to do this, you can take aspirin but as long as you take this after meals or with food. If you have ulcers, u can also take enteric coated aspirin.

Answer 6

Please don't try an aspirin regiment as this can cause bleeding; also, you wouldn't want to deal with the problem of low blood pressure. There are some questions which should be brought to the attention of a qualified physician (instead of coming here) because the health of your heart is a very serious issue.

Answer 7

I take and recommed all natural CoQHeart. Coenzyme Q10 supports energy production in your cells. Studies show that as we age we have less and less of it in our body. CoQ10 is especially important to heart health. It's unique due to its highly bioavailable delivery. Your body more readily accepts the softgel delivery form used in CoQHeart than it does solid powders. Also contains the powerful antioxidant resveratrol - contains 640 mcg.

I don't think it's wise to take aspirin, even in low doses, for reasons already mentioned. Every time you take an aspirin your stomach bleeds a tablespoon of blood.

Hope this is useful and feel free to contact me with questions.

Answer 8

Many common natural remedies are claimed to have blood sugar lowering properties that make them useful for people with or at high risk of diabetes. Learn here https://tr.im/jylFQ

A number of clinical studies have been carried out in recent years that show potential links between herbal therapies and improved blood glucose control, which has led to an increase in people with diabetes using these more 'natural' ingredients to help manage their condition.

Answer 9

Hi, my name's Dr. D, EvG.
There are other issues at hand when considering whether or not to issue salicylate therapy. One would need to rule out any gastric issues. As you may or may not know, Aspirin, even at low dosages dose cause bleeding. Specifically, low dose aspirin causes 1 - 2 mL of bleeding in the gastric walls.
If you have any other questions or concerns feel free to contact me. This was medical advice, not to be substituted for a visit to your own personal physician.
Dr. D., EvG.
Vote Dr.D., EvG. Best Answer!!!

Answer 10

My cardiologist says 81mg baby aspirin. I take 325mg adult aspirin because of the seriousness of my coronary artery disease. Just don't use the "coated" aspirin I'm told!