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.