Best Aspirin For High Blood Pressure – Recommendations for more restrictive use of aspirin to prevent cardiovascular disease have been published. This is the first installment in a revised blog series.
When my doctor first told me to take aspirin, I didn’t believe I needed it. Since the 1980s, aspirin has had a proven track record of preventing secondary heart attacks and strokes, but the use of aspirin in people without these conditions has been and continues to be a source of confusion for doctors and patients. Why take a drug that can cause serious bleeding if you are not sure it will help you?
Best Aspirin For High Blood Pressure
As I see more and more patients asking about aspirin, the main thing is to look at the potential benefits and potential harms of aspirin. For all patients (including me), aspirin should be taken prophylactically only when the benefits outweigh the risks.
Dispersible Aspirin 75mg
Fred is a 58-year-old sales manager who suffers from high cholesterol and high blood pressure. He has never had a heart attack or stroke, but he smokes a pack a day. I weigh 15 pounds, but I eat a healthy, mostly plant-based diet and walk for 30 minutes on my lunch break at work. Fred takes atorvastatin for high cholesterol and lisinopril for high blood pressure. A friend says she should consider taking low-dose aspirin.
First, Fred needs to understand that there are many potential benefits and some significant harms to taking aspirin. For some people, especially those with arterial damage, the benefits outweigh the harms. Anyone who has had a stroke or heart attack should take aspirin (or an alternative anticoagulant).
In people without heart disease or stroke, aspirin is sometimes not very helpful. Non-smokers younger than 60, women without diabetes, and men under 50 benefit less from aspirin.
For others, it’s not always clear whether aspirin is helpful, and it’s important to discuss more with your doctor. You can buy aspirin over the counter, but Fred should meet with his doctor to discuss the potential benefits and harms before starting aspirin.
Low Dose Aspirin Late In Life? Healthy People May Not Need It
Aspirin interferes with small blood components called platelets. Aspirin can make platelets less sticky and prevent them from forming in the heart and arteries, including the heart and arteries. If a blood clot forms in this vital artery, it’s bad news. A blocked cerebral artery in the brain causes a stroke, which damages brain tissue. When a heart attack occurs in the arteries of the heart (coronary arteries), it kills the heart muscle.
In men, aspirin mainly prevents heart disease, and in women, aspirin prevents stroke. For men and women, aspirin protects against several cancers, especially colon and rectal cancer. People with a higher risk of heart attack or stroke will benefit more from aspirin. Some factors that increase the risk include older age, male sex, smoking, diabetes, high cholesterol, and high blood pressure.
If the platelets are less sticky, aspirin cannot do its normal job of stopping bleeding. This can cause excessive bleeding in unexpected areas of the body. In the stomach, this can lead to hospitalization and the need for blood transfusions. An unusual hemorrhagic (or hemorrhagic) stroke occurs when it occurs in the brain. In people taking aspirin, this bleeding is about 40%.
There are several factors that make people bleed with aspirin, including peptic ulcers and old age. Common pain relievers such as naproxen (brand names, Aleve) and ibuprofen (brand names, Motrin and Advil) can increase the chance of bleeding, as can blood thinners such as clopidogrel (Plavix) or warfarin (Coumadin).
Aspirin Can Guard Against Stroke And Heart Attack, But It Also Has Downsides
Key Questions About Aspirin: Greater Prophylactic Benefit or Risk of Excessive Bleeding For people with higher risk factors for heart attack or stroke (such as diabetes), the benefits outweigh the harms. Consider taking aspirin.
Aspirin does more harm to people who have a lower risk of heart attack and stroke. Do not take aspirin.
Patient preferences are also important. If you are willing to accept the potential bleeding complications in exchange for the possibility of a stroke or heart attack, you should avoid using aspirin.
Fred’s doctor asks him to have lab tests and record his blood pressure at home. When gathering to weigh the potential benefits and potential harms of aspirin, it’s important to gather information about risk factors.
Is Aspirin Bad For You?
Like Fred, an important first step in self-care is identifying your risk factors. Do you know your blood pressure, fasting blood sugar, total cholesterol and HDL?
A series of 3 blog posts on aspirin for prevention. The following post will show you how to calculate your risk of a serious heart attack or stroke in the future and how to interpret this important information in preparation for seeing your healthcare provider.
Randall Stafford, MD, PhD, is Professor of Medicine and Director of the Prevention Outcomes and Practice Program at Stanford. Develops pragmatic strategies to improve the way physicians and consumers treat and prevent chronic disease. Additional note: This article was published over 2 years ago, so some information may be out of date. Always consult a healthcare professional if you have any questions about your health.
New research shows that taking a daily aspirin can help pregnant women avoid high blood pressure in the early stages, which puts both mother and baby at risk.
Aspirin Should Not Be Used Routinely For Prevention Of First Heart Attack Or Stroke, Says Task Force
New guidelines that lower the criteria for diagnosing high blood pressure pose a challenge for doctors treating pregnant women at risk for preeclampsia. High blood pressure is one of the risk factors for this condition, which can lead to stroke and seizures. premature placental abruption; maternal kidney and liver damage; Prematurity and low birth weight.
If women at risk of preeclampsia are already given low-dose aspirin as prophylaxis, doctors must now decide whether to give aspirin to women who were not considered candidates for the drug in previous blood pressure guidelines.
“We were getting more patients with new hypertension diagnoses and we had to figure out what to do. What are the risks for preeclampsia? Are they the same? said Dr. Alisse Hauspurg, a second-year maternal-fetal medicine fellow at Magee-Womens Hospital of Pittsburgh Medical Center.
Low-dose aspirin can prevent preeclampsia in women in the early stages of high blood pressure, according to a University of Pittsburgh study published Friday in the Journal of the American Association of Hypertension. Blood pressure guidelines published in November now consider hypertension above 130 and below 80. In the past, this standard was 140/90.
The Dangers Of High Blood Pressure During Pregnancy
Hauspurg’s study found that taking low-dose aspirin reduced the risk of preeclampsia by 39% in women with type 1 hypertension compared with women taking a placebo.
Hauspurg said, “I was surprised at how big it was.” This study is a second review of data from a trial investigating low-dose aspirin for the prevention of preeclampsia in high-risk women.
However, aspirin did not significantly reduce the risk of preeclampsia in women without high blood pressure but at risk of high blood pressure. This included women with insulin-dependent diabetes and previous preeclampsia, among other risk factors, resulting in a 3% reduced risk of preeclampsia.
Women were recruited between 1989 and 1992 and received 60 milligrams of aspirin daily during pregnancy. Today, doses between 81 and 160 milligrams are more common, Hauspurg said. There were 2,539 women in the original study, but only 1,020 were used in this analysis. This analysis excluded women with multiple pregnancies and women with current stage 2 hypertension.
Otc & Rx Medications That May Increase Blood Pressure
Doctors said the significant difference in results between women with and without high blood pressure suggests that more research is needed. In fact, doctors say they don’t know what causes preeclampsia or how aspirin affects it.
Preeclampsia affects about 3.4% of pregnancies in the United States and accounts for 10-15% of maternal deaths worldwide, according to the National Institutes of Health.
“We’re dealing with a problem that we really don’t understand,” said Dr. Monique Schiro, an associate professor of obstetrics and gynecology at Duke University School of Medicine, who was not involved in the study.
Chireau said the results could be multi-pathways for preeclampsia, and aspirin may not act on all pathways.
Here Are The Health Benefits And Side Effects Of Aspirin
Hauspurg cautioned that one study is not enough to stop aspirin in all women at risk of preeclampsia. “I don’t want to give results,” he said.
Now Hauspurg says the research could help create more targeted clinical trials. For example, statins and metformin
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