- Based on new evidence, the U.S. Preventive Services Task Force says daily low-dose aspirin in people 60 years old or older has no net benefit due to an increased risk of bleeding.
- 现有证据表明阿司匹林对40至59岁的人的“净利润”为10％或更多的10年或以上的10年的心血管疾病（CVD）风险很小。
- 专家说，一些包括心脏病或患有支架，血管成形术和冠状动脉旁路手术的群体可以从阿司匹林中受益。
The U.S. Preventive Services Task Force (USPSTF) released new draft建议书10月12日，不再建议使用阿司匹林预防心脏病发作并对某些群体中风。
许多人每天服用低剂量药丸来帮助
According to USPSTF, evidence now suggests the “net benefit” of aspirin use for people 40 to 59 years old who have a 10 percent or more 10-year cardiovascular disease (CVD) risk is small.
工作队还得出结论，从60岁或以上的成年人中预防成年人的CVD事件根本没有任何利益。
Some groups are still advised to take daily aspirin.
“These recommendations do not apply to people who have had a heart attack or stroke, or have a stent in an artery,” Dr. Donald M. Lloyd-Jones, volunteer president for the American Heart Association (AHA), said in a
“那些患者应留在医生中的阿司匹林上，”他继续。“但在没有已知心血管疾病的成年人中，我们继续敦促临床医生在处方患者时非常有选择。”
“出血是60岁及以上的患者的主要问题，如果他们新放在每日婴儿阿司匹林方案，那么患有心脏病的风险，”罗伯特博士是，纽约Lenox Hill医院的紧急医生告诉健康线。雷竞技app官网
Glayt表示，长期婴儿阿司匹林方案对老年患者的重大关注是从瀑布经历的头部创伤中出血的风险。
Dr. Guy L. Mintz, director of cardiovascular health and lipidology at the Sandra Bass Heart Hospital in Manhasset, New York, said, “Aspirin definitely has a role to play.”
He explained that patients with heart disease, stent, angioplasty, coronary artery bypass surgery, stroke, peripheral arterial disease, and
He also cautioned that patients on an aspirin regimen should talk with their doctor first before stopping.
“Aspirin also had an anti-inflammatory effect reducingc-reactive protein，炎症的标志物，“麦芽兹说。“从1988年的医生的健康研究表明阿司匹林减少了心脏病发作。”
虽然USPSTF得出结论认为，对于没有心脏病的患者使用阿司匹林与潜在的危险出血有关，但Mintz表示还有其他方法可以降低风险。
“今天，我们有高效的疗法，显着减少了心脏病发作的机会，”他说。
Mintz said this includes:
- 有效的胆固醇降低药物
- 新的糖尿病药物减少心脏死亡，减少心力衰竭，改善肾功能和血糖
- effective medications to reduce blood pressure and blood pressure targets lower than previous guidelines
“我们有[还]肥胖和胰岛素抵抗作为导致心血管疾病的炎症状态，以及对这些国家的有效治疗，”他补充说。
According to Mintz, major cardiac risk factors include a family history of heart disease, diabetes, high cholesterol, hypertension, smoking, and obesity.
Patients should talk with their doctor to review their cardiovascular risk, he said.
Mintz advised that people with cardiac risk factors have their cardiac risk profile measured.
“Each patient without heart disease between ages 40 to 70 years should have their 10-year cardiovascular risk measured using the ACC/AHA cardiac risk计算器梅兹说，这提供了10年的心脏风险并有助于识别治疗途径。
基于新证据，苏斯普斯特人们表示，60岁或以上的人的每日低剂量阿司匹林因出血风险增加而没有净利润。
工作队还表示，人们40至59岁，在10年内经历第一个心血管事件的10％或更大的风险，经验只有一个小净好处，并应在每天服用阿司匹林之前咨询医生。专家表示，这些指南仅指阿司匹林，而不是其他血薄药物，而且目前没有人在与医疗保健专业人员发表讲话之前应该停止。