3 ms·
I'm not a doctor either, just a postgrad pre-med student with a heart problem (so I read a lot about the heart). I know just enough to be dangerous, but I do kn
by leereeves 2y ago
I'm not a doctor either, just a postgrad pre-med student with a heart problem (so I read a lot about the heart). I know just enough to be dangerous, but I do know you're right about the two types of stroke and the benefit of aspirin in preventing ischemic strokes (clots).
And until recently, daily aspirin was recommended for that, even for people with no history of heart disease. But AIUI, now the American Heart Association (2019) [1], U.S. Preventive Service Task Force (2022) [2], and the European Society of Cardiology (2019) [3] all say that for people with no history of cardiovascular disease, daily aspirin has little to no net benefit in younger patients and increases mortality in older patients.
Of course, the possibility of preventing metastasis adds another benefit, and may tip the balance back in favor of aspirin therapy.
1: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000678 https://www.ahajournals.org/doi/10.1161/CIR.0000000000000678
2: https://www.acc.org/latest-in-cardiology/articles/2022/04/27/20/41/new-uspstf-recommendation-on-aspirin-in-cvd https://www.acc.org/latest-in-cardiology/articles/2022/04/27...
3: https://www.escardio.org/static-file/Escardio/Guidelines/Publications/ANGINA/Q&A%20CCS%20Guidelines_23-10-19%20for%20web.pdf https://www.escardio.org/static-file/Escardio/Guidelines/Pub...
- nartho 2y agoIs there any data about the cancer incidence in people who had to take aspirin daily for those reasons ?
- leereeves 2y agoTo be precise, this article isn't talking about aspirin preventing cancer, just stopping it from metastasizing. It links to data about that: https://pubmed.ncbi.nlm.nih.gov/22440947/ https://pubmed.ncbi.nlm.nih.gov/22440947/