Aspirin belongs to the list of over-the-counter drugs that provide good relief from pains and inflammation. Though the above are some known benefits, the role in maintaining cardiac health is really notable and needs emphasis. In this blog we have discussed how aspirin could be used for managing heart health and thus its implication on those who are at risk of cardiovascular diseases.

 

What is Aspirin?

Aspirin, or acetylsalicylic acid, is a non-steroidal anti-inflammatory drug that works through reducing the synthesis of certain chemicals in the body that cause inflammation and pyresis and pain.

 

Benefits of Aspirin on Heart Health

 

1. Heart Attack Prevention

The biggest boon of aspirin in its help to heart health, which it has of developing a relationship with the potential of preventing myocardial infarction is the one that has been documented. It lowers the potential of relapsing another myocardial infarction in patients who suffer from disease related to the heart by a considerable rate. The Journal of the American College of Cardiology stated that patients who were experiencing their first coronary artery disease survived many fewer chances of developing another myocardial infarction after daily aspirin therapy.

 

2. Secondary Prevention of Cerebral Infarction

Aspirin has shown to lower the chance of ischemic strokes whose pathophysiology is related with clot that hinders blood from getting into the brain. A meta-analysis in The Lancet confirmed also the efficacy and safety of aspirin in diminishing the potential for first-time and recurrent strokes among patients with TIA history or ischemic stroke,

 

3. Secondary Prevention in High-Risk Patients

Aspirin, therefore remains a component of secondary prevention in patients with risk factors such as diabetes mellitus, hypertension or history of heart disease. Aspirin has been shown within many studies to reduce the occurrence of cardiac events in these at-risk patients; their benefits are boundless to preventive cardiology.

 

4. Possible Efficacy in Patients with Atrial Fibrillation

AF is a most common arrhythmia, and also a potential source for stroke. However, in present times, anticoagulants are considered the first line of treatment in AF patients to reduce the risk of stroke and aspirin is still allowed in certain conditions which are not refractory to anticoagulants. Findings have shown that aspirin acts as a prophylaxis for thromboembolic events in selected AF patients.

 

Risks and Side Effects

Although aspirin has plenty of favorable effects on heart health, knowledge about the risk and its side effects is also quite very important.

 

1. Gastrointestinal Problems

Gastrointestinal irritation stands as the most common side effect of aspirin. Aspirin causes stomach upsets, ulcers, and bleeding partially in some patients, particularly those with a past medical history of such gastrointestinal problems. Discussion about any concerns is very important, especially if any history of peptic ulcers or gastrointestinal bleed exists.

 

2. Risk of Bleeding

Aspirin increases the tendency for bleeding due to its antiplatelet activity. Thus, it becomes a serious challenge for the individual who is on blood-thinning medication or the individual with bleeding disorders. In one of the latest studies concluded in New England Journal of Medicine, 2019, it has found that aspirin being useful in preventing cardiovascular events does need to be balanced at a point with bleeding complications.

 

3. Allergic Reactions

Even, some people have been reported allergic to aspirin, and in such patients rashes can also cause anaphylaxis. Aspirin, as well as any other NSAIDs, should be avoided by the known allergy patients.

 

4. Not for Everyone

Not everyone has aspirin therapy in order for them. Aspirin should only begin with careful consideration of the risk factors and the clinical history of a patient. Many patients might have risks that outweigh the benefits, especially among the lower-risk groups.


View More: 4 Lifestyle Changes That Can Help Prevent A Heart Attack


Recent Guidelines for the Use of Aspirin

 

Primary Prevention

Recommendations for the use of aspirin in primary prevention-primary prevention that is aimed to prevent heart attacks and strokes in people who never had a cardiovascular event-are always changing. It is recommended for aspirin in low-risk patients for primary prevention because risks of bleeding far outweigh benefits. However, speak with your healthcare provider if you have a higher risk.

 

Secondary Prevention

While other medications are often prescribed concomitantly, aspirin is frequently used in patients with documented cardiovascular disease, such as myocardial infarction or stroke. For most adults, the typical suggested dose is 81 mg to 325 mg daily, but the dosing of any medication should be established by a healthcare professional.

 

Special Populations

For example, within individual populations, like those who have atrial fibrillation, guidelines for aspirin therapy will act as a foundation for its use. The use should thus be established in the context of other therapies, including anticoagulants, and initiated based on consideration of individual risks.

 

Aspirin and Lifestyle Changes

Aspirin, in its role, has a host of different ways that it can play an important role to heart health. However, all the other measures should not be replaced with aspirin alone. Lifestyle measures are as important in the reduction of risk to cardiovascular disease. Some other lifestyle changes which will go hand to hand with aspirin therapy are as follows;

 

Healthy Diet

A diet rich in all fruits, vegetables, whole grains, lean proteins, and healthy fats is highly important to cardiovascular health. Such consumption at high levels of olive oil, fish, and nuts-for example, the Mediterranean diet- has been linked to a rate lower heart disease.

 

Weight Management

A healthy weight is very fundamental to good heart health. An overweight person is likely to develop hypertension, cholesterol, and diabetes that might finally result in cardiovascular diseases. A healthy diet mixed with regular exercise contributes much to the achievement and maintenance of a healthy weight.

 

Health Screenings

For sure, monitoring the health of the heart would be very important after a regular visit to the health care provider. Indeed, one would be able to identify the risky factors even before any serious complications have taken place.

In fact, it is only proper that heart health assessment should include regular monitoring of blood pressure, cholesterol levels, and blood glucose levels to mitigate possible risks from cardiovascular diseases.

 

Conclusion

Obviously, aspirin is a drug of necessity both in prevention and in the management of cardiovascular disease among risk group individuals. Based upon antiplatelet effects, a reduction in heart attacks and strokes is effectively derived. The benefit must outweigh such a drug with risks produced by gastrointestinal issues and complications associated with bleeding.


Aspirin therapy should always be individualized. Within the hands of a healthcare provider, it may depend on the medical history, risk factors, and general physical condition of the patient. Most importantly, it is always best to consult with your healthcare provider before starting or continuing aspirin therapy, especially if you have an underlying health condition or you are on other medication.


Healthy living might preserve cardiovascular well-being. It means a balanced diet, proper exercising, and sometimes health check-ups at intervals. All these together may prevent something that may make health worse and increase cases of heart disease.


Please book an appointment with the best Internal Medicine Specialist in Lahore, Karachi, Islamabad, and all major cities of Pakistan through Instacare, or call our helpline at 03171777509 to find a verified doctor for your disease.