Monday , June 27 2022

Popping aspirin for heart attack scare may reveal bigger internal bleeding issues | Delhi News



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New Delhi: A US Preventive Services Task Force states that you should not take aspirin, a blood-thinning drug, every day to prevent heart attacks or strokes because you are 60 years of age or older.
Daily aspirin use may help prevent heart attacks and strokes in some people, but it can also cause potentially serious problems such as internal bleeding, according to John B Wong, a member of the task force.
Dr Devi Shetty, leading heart surgeon and head of Narayana Health, told TOI the recommendations should serve as a warning to many people in India who take the drug as they are over 60 years old. “I’ve seen patients taking aspirin every day without a doctor’s advice. It’s dangerous,” he said.
Daily low-dose aspirin makes the blood less sticky and helps prevent heart attacks and strokes.
Dr Ashok Seth, head of the Fortis Escort Heart Institute (FEHI), said many heart patients were distressed after learning of the drug’s side effects. “It is important for people who have had a past heart attack or stroke, those who have had angioplasty or bypass surgery, and those who are currently taking daily aspirin, not to discontinue treatment. “In their case, the benefits of the drug far outweigh the risks,” he said.
According to Dr Sundeep Mishra, professor of cardiology at AIIMS, there is no benefit to using aspirin in a healthy person, as any supposed benefit of reducing heart risk will be lost with an increased risk of bleeding and therefore, there is no benefit overall. everything.
“For example, if a person is at high risk of heart attack, especially someone who has had or has had angina, the risk of further heart attack is very high and so there is benefit in taking aspirin in this situation. On the other hand, a healthy person at low risk of heart disease would not benefit from aspirin as the risk of bleeding is higher than the benefit. The third scenario is the scenario of a person who does not currently have heart disease, but has multiple risk factors for the development of heart diseases such as diabetes mellitus, high blood pressure, high bad cholesterol, or is overweight and has low physical activity. The decision of whether to give aspirin here should be personal,” he said.
The U.S. Task Force also recommended that people aged 40 to 59 years with no history of heart disease discuss with their clinicians to decide whether it is right for them to start taking aspirin. Fortis C-Doc head Dr Anoop Misra said the task force recommendations were based on evidence produced in the US. “Indians are at a much higher risk. This is especially true for patients with diabetes. Therefore, although the likelihood of bleeding is low, many high-risk patients, especially long-term diabetics, may benefit from aspirin.”
Dr Mohit Gupta, professor of cardiology at GB Pant hospital, said that coronary artery disease, or damage to the blood vessels of the heart, occurred ten years ago and is more severe in the Indian population compared to the western population. It is important to convey the message that irrational use of aspirin should be avoided to prevent heart attacks in people over the age of 60 who do not have more than one risk factor.”



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