![]() Newsroom: Why is low-dose aspirin often recommended for patients who have experienced a stroke? If a patient’s doctor has recommended low-dose aspirin-or any preventive medication-the patient shouldn’t discontinue taking it without discussing it with their physician. Media reports about the recommendation made some of our stroke patients feel that there was not a clear benefit for them. Even before this recommendation was so well publicized, we had stroke patients who stopped their aspirin and later arrived in the Emergency Department with a new stroke. Newsroom: Have any of your patients stopped taking their aspirin because of this recommendation? It does not apply to people who have already had a stroke or heart attack, or are at increased risk for one, but some of these patients mistakenly think that it applies to them as well. ![]() Konrad Schlick, MD: The recommendation applies only to patients who have never had a heart attack or stroke. Newsroom: Why are some patients confused by this new recommendation? Schlick, MD, assistant professor of Neurology and director of the Vascular Neurology Fellowship Program, to clarify aspirin recommendations for stroke patients and others. ![]() Song, MD, director of the Comprehensive Stroke Center, vice chair for Neurology System Integration and professor of Neurology at Cedars-Sinai, and Konrad H. The task force recommended that patients who have never had a heart attack or stroke not begin a low-dose aspirin regimen because the very slight risk of internal bleeding caused by the aspirin outweighs its potential benefit in preventing a first heart attack or stroke for these patients. have a stroke each year, and ischemic stroke is the most common type. Preventive Services Task Force recommendation has caused some patients with a history of stroke to abruptly stop the medication, putting their health at risk.Īspirin is typically prescribed for patients who have experienced or are at increased risk for ischemic stroke, where a blood clot blocks or narrows an artery supplying blood to the brain. The July 2021 Heart Letter feature "Advice about daily aspirin" has more detailed information.Experts from the Cedars-Sinai Comprehensive Stroke Center are urging stroke patients not to stop taking daily low-dose aspirin without consulting their doctors. But daily low-dose aspirin still makes sense for most people with heart disease. In 2019, the American Heart Association and American College of Cardiology released similar guidelines, noting aspirin’s lack of net benefit for most people without known heart disease. The recommendations aren’t news to most cardiologists. Aspirin helps prevent blood clots that can cause a heart attack or stroke, but the drug can also cause serious bleeding in the gastrointestinal tract and brain. Preventive Services Task Force in October 2021, stem from studies showing that for most people without heart disease, the risk from low-dose aspirin cancels out its potential heart-protecting power. These recommendations, outlined in a draft statement issued by the U.S. If your age is in the range of 40 to 59, discuss with your doctor if you should consider an aspirin regimen. If you do not already have heart disease and are 60 or older, don’t start taking low-dose aspirin to prevent a heart attack or stroke.
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