At Martin ORiordans cardiology practice in the Philadelphia area, it happens weekly. A 45- or 50-year-old patient mentions that her father had a heart attack at the same age. Worried that the same fate will befall her despite being in good health, she takes baby aspirin every day. ORiordans typical response: Please stop. Physicians have known for decades that daily, low-dose aspirin makes sense for patients who have had a heart attack or stroke, as it sharply reduces the chance of having a second one. But for people who have never had one of these cardiovascular events, the thinking on aspirin is less clear, despite two recent large-scale studies. The reason for caution is the very reason that aspirin wards off heart attacks and strokes: It interferes with blood clotting, putting the patient at higher risk of serious gastrointestinal bleeding. Bottom line: Aspirin is more potent than many people realize, said ORiordan, of Mercy Cardiology. People have kind of looked at it as, Aspirin, an apple, a glass of milk, its all good for you, said ORiordan, who is on staff at Lankenau Medical Center. Aspirin is a medication. It is a medication drawing renewed scrutiny, 30 years after the … Continue reading
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