{"id":11766,"date":"2022-02-09T14:01:52","date_gmt":"2022-02-09T14:01:52","guid":{"rendered":"https:\/\/blogs.cooperhealth.org\/ehealth\/?p=11766"},"modified":"2022-02-09T18:52:22","modified_gmt":"2022-02-09T18:52:22","slug":"does-this-popular-treatment-prevent-cardiovascular-disease","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/ehealth\/2022\/02\/09\/does-this-popular-treatment-prevent-cardiovascular-disease\/","title":{"rendered":"Does This Popular Treatment Prevent Cardiovascular Disease?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11768 size-large\" src=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1283900775-1024x683.jpg\" alt=\"Does This Popular Treatment Actually Prevent Cardiovascular Disease?\" width=\"700\" height=\"467\" srcset=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1283900775-1024x683.jpg 1024w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1283900775-300x200.jpg 300w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1283900775-768x512.jpg 768w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1283900775-1536x1024.jpg 1536w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1283900775-2048x1365.jpg 2048w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1283900775-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/p>\n<p><a href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2022\/02\/09\/does-this-popular-treatment-prevent-cardiovascular-disease\/#espanol\">Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed<\/a> <\/p>\n<p>February is American Heart Month, a great time to think about heart-healthy habits. Many people take low-dose aspirin (baby aspirin) daily to help prevent cardiovascular disease. New guidelines from the U.S. Preventive Services Task Force, however, advise that this treatment should not be an automatic prescription for all adults.<\/p>\n<p>Taking a daily low-dose aspirin can lower the risk of heart attack and stroke, but it may also increase the risk of potentially fatal bleeding in the brain, stomach, and intestines. After weighing the benefits and risks of daily aspirin use, the Task Force identified which groups of patients benefit most from taking aspirin regularly, and which groups should stay away:<\/p>\n<ul>\n<li>People who are 60 years old or older <strong>should not<\/strong> start taking low-dose aspirin daily unless it is recommended by their doctor. The risks start to outweigh the benefits at this age.<\/li>\n<li>People who are 40 to 59 years old, who are at higher risk for cardiovascular disease\u2014 but have not had a related issue, such as a heart attack or a stroke\u2014are advised to talk to their clinician to decide if low-dose aspirin might be beneficial. Their age, cardiovascular disease risk, and bleeding risk all should be considered.<\/li>\n<li>Healthy people who don\u2019t have an increased risk of heart disease <strong>should not<\/strong> take low-dose aspirin for prevention.<\/li>\n<\/ul>\n<p>Many patients have been left wondering what\u2019s best for them based on these recommendations. <a href=\"https:\/\/www.cooperhealth.org\/doctors\/simon-topalian-md\">Simon Topalian, MD<\/a>, a cardiologist at <a href=\"https:\/\/www.cooperhealth.org\/\">Cooper University Health Care<\/a> and member provider of <a href=\"https:\/\/www.cooperhealth.org\/services\/heart-institute\">Cardiac Partners at Cooper and Inspira<\/a>, clears up some questions about the new guidelines.<\/p>\n<p><strong>What should someone do if they\u2019re currently taking low-dose aspirin?<\/strong><\/p>\n<p><strong>Dr. Topalian:<\/strong> The simple answer is to talk to your health care provider. People should know that there are still patients who benefit from taking aspirin.\u00a0 So, physicians really have to work with their patients to look at all the variables. For instance, patients who have a history of heart attack or stroke, have had bypass surgery, or have stents still benefit from taking aspirin.<\/p>\n<p><strong>Is it safe to stop taking low-dose aspirin immediately?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>If you are young and healthy and taking daily aspirin on your own and it was not prescribed by your health care provider, there\u2019s no need to taper off and you can just stop taking it. In other cases (where aspirin is prescribed), you need to talk to your doctor, because there may be other factors involved and you can put your health at risk if you stop aspirin on your own.<\/p>\n<p><strong>Does the risk of bleeding go away immediately after you stop taking low-dose aspirin?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>Once aspirin is stopped, the risk of bleeding goes away after few days.<\/p>\n<p><strong>How can patients who continue to take low-dose aspirin keep tabs on their bleeding risk?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>People who have an increased risk of cardiovascular disease and would still benefit from aspirin are usually followed closely by their physician. The goal is always about finding the balance between risk and benefit, and that goes for any medication, not just aspirin.<\/p>\n<p>There are no tests that directly monitor the risk of bleeding. There are some blood tests that indirectly indicate that a patient may be experiencing internal bleeding. For example, a low blood count on a hemoglobin test may be an indicator that there could be bleeding somewhere. And if that\u2019s the case, the physician can investigate further. Some physical signs of bleeding include fatigue, breathlessness, and pale appearance.<\/p>\n<p><strong>Does the bleeding happen over time, or is it more of an event that happens quickly?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>There\u2019s no way to predict. People who have conditions that increase bleeding risk, and are also taking aspirin, may have an acute bleeding event. But what we commonly see is gradual bleeding over weeks or a month rather than rapid blood loss.<\/p>\n<p><strong>What are some signs of bleeding that patients should be aware of?<\/strong><\/p>\n<p><strong>Dr. Topalian:<\/strong> If bleeding occurs in the brain, there may be a change in mental status, such as confusion, drowsiness, weakness, or trouble speaking. If there\u2019s bleeding in the gastrointestinal tract, the patient could experience black, tarry stools, or blood in vomit. There could also be fatigue, shortness of breath, or chest pain.<\/p>\n<p><strong>Because low-dose aspirin may no longer be an option for some people, what are some other things people can do to prevent cardiovascular disease?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>This is really what the message should be. Aspirin is only part of the equation, and it\u2019s not right for everyone.<\/p>\n<p>There is no magic pill.\u00a0 People should take action to control the things they can control. Stop smoking and live a healthy lifestyle that includes moderate or vigorous exercise, lose weight if you are overweight, and follow a heart-healthy diet. Prevention is so important. Some risk factors, such as hypertension, diabetes or hyperlipidemia, require medical interventions and patients should discuss that with their physicians.<\/p>\n<p>Listen to your heart, not just in February, but all year long.<\/p>\n<p>To schedule an appointment with a <a href=\"https:\/\/www.cooperhealth.org\/services\/heart-institute\">Cardiac Partners at Cooper and Inspira<\/a> cardiologist, call <a href=\"tel:8337543278\">833.SJ.HEART<\/a> (<a href=\"tel:8337543278\">833.754.3278<\/a>) or complete our <a href=\"https:\/\/www.cardiacpartners.org\/schedule-appointment\/\">online form<\/a>.<\/p>\n<p><a name=\"espanol\"><\/a><br \/>\n&nbsp;<\/p>\n<h2>\u00bfEste popular tratamiento previene enfermedades cardiovasculares?<\/h2>\n<p>Febrero es el Mes Americano del Coraz\u00f3n, un buen momento para pensar en h\u00e1bitos saludables para el coraz\u00f3n. Muchas personas toman aspirina en dosis bajas (aspirina para beb\u00e9s) todos los d\u00edas para ayudar a prevenir enfermedades cardiovasculares. Sin embargo, las nuevas pautas del U.S. Preventive Services Task Force advierten que esto no deber\u00eda ser una receta autom\u00e1tica para todos los adultos.<\/p>\n<p>Tomar una aspirina diaria en dosis bajas puede reducir el riesgo de ataque card\u00edaco y accidente cerebrovascular, pero tambi\u00e9n puede aumentar el riesgo de hemorragia potencialmente mortal en el cerebro, el est\u00f3mago y los intestinos. Despu\u00e9s de sopesar los beneficios y los riesgos del uso diario de aspirina, el grupo de trabajo identific\u00f3 qu\u00e9 grupos de pacientes se benefician m\u00e1s de tomar aspirina con regularidad y cu\u00e1les deben mantenerse alejados:<\/p>\n<ul>\n<li>Las personas de 60 a\u00f1os o m\u00e1s <strong>no deben<\/strong> comenzar a tomar aspirina en dosis bajas todos los d\u00edas a menos que se lo recomiende su m\u00e9dico. Los riesgos comienzan a pesar m\u00e1s que los beneficios a esta edad.<\/li>\n<li>Se recomienda a las personas de 40 a 59 a\u00f1os que tienen un mayor riesgo de enfermedad cardiovascular, pero que no han tenido un problema relacionado, como un ataque card\u00edaco o un derrame cerebral, que hablen con su m\u00e9dico para decidir si la aspirina en dosis baja podr\u00eda ser adecuada y beneficioso. Se consideran su edad, riesgo de enfermedad cardiovascular y riesgo de sangrado.<\/li>\n<li>Las personas sanas que no tienen un mayor riesgo de enfermedad card\u00edaca <strong>no deben<\/strong> tomar aspirina en dosis bajas para la prevenci\u00f3n.<\/li>\n<\/ul>\n<p>Muchos pacientes se han preguntado qu\u00e9 es lo mejor para ellos seg\u00fan estas recomendaciones. <a href=\"https:\/\/www.cooperhealth.org\/doctors\/simon-topalian-md\">Simon Topalian, MD<\/a>, un cardi\u00f3logo de <a href=\"https:\/\/www.cooperhealth.org\/\">Cooper University Health Care<\/a> y proveedor miembro de <a href=\"https:\/\/www.cooperhealth.org\/services\/heart-institute\">Cardiac Partners en Cooper e Inspira<\/a>, aclara algunas preguntas sobre las nuevas pautas.<\/p>\n<p><strong>\u00bfQu\u00e9 debe hacer alguien si actualmente est\u00e1 tomando aspirina en dosis bajas?<\/strong><\/p>\n<p><strong>Dr. Topalian:<\/strong> La respuesta es simple hable con su proveedor de atenci\u00f3n m\u00e9dica. La gente debe saber que todav\u00eda hay pacientes que se benefician de tomar aspirina, por lo que los m\u00e9dicos realmente tienen que trabajar con sus pacientes para observar todas las variables. Por ejemplo, los pacientes que tienen antecedentes de ataque card\u00edaco o accidente cerebrovascular, que se han sometido a una cirug\u00eda de bypass o que tienen stents a\u00fan se benefician al tomar aspirina.<\/p>\n<p><strong>\u00bfEs seguro dejar de tomar aspirina en dosis bajas de inmediato?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>Si est\u00e1 tomando aspirina todos los d\u00edas por su cuenta y es joven y saludable, no hay necesidad de disminuir. En otros casos (donde est\u00e1 indicada la aspirina), debe hablar con su m\u00e9dico, porque puede haber otros factores involucrados y puede poner en riesgo su salud si deja la aspirina por su cuenta.<\/p>\n<p><strong>\u00bfEl riesgo de sangrado desaparece inmediatamente despu\u00e9s de dejar de tomar aspirina en dosis bajas?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>Despu\u00e9s de unos d\u00edas, el riesgo de sangrado por la aspirina generalmente desaparecer\u00e1. Por otro lado, algunas personas pueden tener otras afecciones, como \u00falceras, enfermedad renal o trastornos de la sangre, que las ponen en mayor riesgo de sangrado. Cuando toma aspirina y tiene una de estas otras condiciones, el riesgo de sangrado aumentar\u00e1.<\/p>\n<p><strong>\u00bfC\u00f3mo pueden los pacientes que contin\u00faan tomando aspirina en dosis bajas controlar su riesgo de sangrado?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>Las personas que tienen un mayor riesgo de enfermedad cardiovascular y a\u00fan se beneficiar\u00edan de la aspirina generalmente son seguidas de cerca por su m\u00e9dico. Siempre se trata de encontrar el equilibrio entre riesgo y beneficio, y eso se aplica a cualquier medicamento, no solo a la aspirina.<\/p>\n<p>No hay pruebas que controlen directamente el riesgo de sangrado. Hay algunos an\u00e1lisis de sangre que indican indirectamente que un paciente puede estar experimentando una hemorragia interna. Por ejemplo, un recuento sangu\u00edneo bajo en una prueba de hemoglobina puede ser un indicador de que podr\u00eda haber sangrado en alguna parte. Y si ese es el caso, el m\u00e9dico puede investigar m\u00e1s a fondo. Algunos signos f\u00edsicos de sangrado incluyen fatiga, dificultad para respirar y apariencia p\u00e1lida.<\/p>\n<p><strong>\u00bfEl sangrado ocurre con el tiempo o es m\u00e1s un evento que ocurre r\u00e1pidamente?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>No hay manera de predecir. Las personas que tienen afecciones que aumentan el riesgo de sangrado y que tambi\u00e9n toman aspirina pueden tener un episodio de sangrado agudo. Pero lo que com\u00fanmente vemos es un sangrado gradual durante semanas o un mes en lugar de una p\u00e9rdida de sangre r\u00e1pida.<\/p>\n<p><strong>\u00bfCu\u00e1les son algunos signos de sangrado que los pacientes deben tener en cuenta?<\/strong><\/p>\n<p><strong>Dr. Topalian:<\/strong> Si ocurre sangrado en el cerebro, puede haber un cambio en el estado mental, como confusi\u00f3n, somnolencia, debilidad o dificultad para hablar. Si hay sangrado en el tracto gastrointestinal, el paciente podr\u00eda experimentar heces negras y alquitranadas o sangre en el v\u00f3mito. Tambi\u00e9n podr\u00eda haber fatiga, dificultad para respirar o dolor en el pecho.<\/p>\n<p><strong>Debido a que la aspirina en dosis bajas ya no es una opci\u00f3n para algunas personas, \u00bfqu\u00e9 otras cosas pueden hacer las personas para prevenir las enfermedades cardiovasculares?<\/strong><\/p>\n<p><strong>Dr. Topalian: <\/strong>Esto es realmente lo que deber\u00eda ser el mensaje. La aspirina es solo una parte de la ecuaci\u00f3n y no es adecuada para todos.<\/p>\n<p>No existe una p\u00edldora m\u00e1gica y las personas deben tomar medidas para controlar las cosas que pueden controlar. Deje de fumar y lleve un estilo de vida saludable que incluya ejercicio moderado o vigoroso, pierda peso si tiene sobrepeso y siga una dieta saludable para el coraz\u00f3n. La prevenci\u00f3n es tan importante. Algunos factores de riesgo, como la hipertensi\u00f3n, la diabetes o la hiperlipidemia, requieren intervenciones m\u00e9dicas y los pacientes deben consultarlo con sus m\u00e9dicos.<\/p>\n<p>Escucha a tu coraz\u00f3n, no solo en febrero, sino durante todo el a\u00f1o. Para programar una cita con un cardi\u00f3logo de <a href=\"https:\/\/www.cooperhealth.org\/services\/heart-institute\">Cardiac Partners en Cooper and Inspira<\/a>, llame al <a href=\"tel:8337543278\">833.SJ.HEART<\/a> (<a href=\"tel:8337543278\">833.754.3278<\/a>) o complete <a href=\"https:\/\/www.cardiacpartners.org\/schedule-appointment\/\">nuestro formulario en l\u00ednea<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed February is American Heart Month, a great time to think about heart-healthy habits. Many people take low-dose aspirin (baby aspirin) daily to help prevent cardiovascular disease. New guidelines from the U.S. Preventive Services Task Force, however, advise that this treatment should not be an automatic prescription &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2022\/02\/09\/does-this-popular-treatment-prevent-cardiovascular-disease\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":48,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-tlaverty","4":"post-11766","6":"format-standard","7":"category-ehealth-connection"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Does This Popular Treatment Prevent Cardiovascular Disease? - eHealth Connection<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2022\/02\/09\/does-this-popular-treatment-prevent-cardiovascular-disease\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Does This Popular Treatment Prevent Cardiovascular Disease? - eHealth Connection\" \/>\n<meta property=\"og:description\" content=\"Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed February is American Heart Month, a great time to think about heart-healthy habits. 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Many people take low-dose aspirin (baby aspirin) daily to help prevent cardiovascular disease. New guidelines from the U.S. Preventive Services Task Force, however, advise that this treatment should not be an automatic prescription ... 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