How to use aspirin to treat and prevent heart disease, cancers
A researcher has published a review for clinicians on the optimal utilization of aspirin to treat and prevent heart attacks as well as commentary on the cholesterol lowering drugs to prevent colorectal and other cancers.
In a commentary published in Clinical Investigation, consider the emerging evidence on aspirin in the prevention of colorectal and other cancers and provide advice to doctors.
"All patients suffering from blockage of an artery in the heart or brain should receive 325 mg regular aspirin promptly and daily aspirin thereafter to reduce their death rate as well as subsequent heart attacks and strokes,".
In addition, he also stressed that "among long-term survivors of prior heart attacks, occlusive strokes or blockages in the arteries of the legs, aspirin should be continued long-term unless there is a specific contraindication."
He advises doctors that, based on the current totality of evidence, in the primary prevention of vascular disease and cancer, any judgements about prescribing long-term aspirin therapy for apparently healthy individuals should be based on individual clinical judgements between the doctor and each of his or her patients. General guidelines that advocate the routine use of aspirin in all apparently healthy individuals do not seem to be justified for the primary prevention of either cardiovascular disease (CVD) or cancer.
The increasing burden of CVD in developed and developing countries underscores the need for more widespread therapeutic lifestyle changes as well as the adjunctive use of drug therapies of proven net benefit in the primary prevention of CVD. These should include statins to lower cholesterol, and the multiple drug therapies likely to be necessary to achieve control of high blood pressure.
He was the first to discover that aspirin prevents a first heart attack and has lifesaving benefits when given during a heart attack or among long-term survivors of prior events.
Science Watch ranked this researcher as the third most widely cited medical researcher in the world from 1995-2005, and five of the top 20 were his former trainees and/or fellows. In 2012, Science Heroes ranked him No. 81 in the history of the world for having saved more than 1.1 million lives.
In a commentary published in Clinical Investigation, consider the emerging evidence on aspirin in the prevention of colorectal and other cancers and provide advice to doctors.
"All patients suffering from blockage of an artery in the heart or brain should receive 325 mg regular aspirin promptly and daily aspirin thereafter to reduce their death rate as well as subsequent heart attacks and strokes,".
In addition, he also stressed that "among long-term survivors of prior heart attacks, occlusive strokes or blockages in the arteries of the legs, aspirin should be continued long-term unless there is a specific contraindication."
He advises doctors that, based on the current totality of evidence, in the primary prevention of vascular disease and cancer, any judgements about prescribing long-term aspirin therapy for apparently healthy individuals should be based on individual clinical judgements between the doctor and each of his or her patients. General guidelines that advocate the routine use of aspirin in all apparently healthy individuals do not seem to be justified for the primary prevention of either cardiovascular disease (CVD) or cancer.
The increasing burden of CVD in developed and developing countries underscores the need for more widespread therapeutic lifestyle changes as well as the adjunctive use of drug therapies of proven net benefit in the primary prevention of CVD. These should include statins to lower cholesterol, and the multiple drug therapies likely to be necessary to achieve control of high blood pressure.
He was the first to discover that aspirin prevents a first heart attack and has lifesaving benefits when given during a heart attack or among long-term survivors of prior events.
Science Watch ranked this researcher as the third most widely cited medical researcher in the world from 1995-2005, and five of the top 20 were his former trainees and/or fellows. In 2012, Science Heroes ranked him No. 81 in the history of the world for having saved more than 1.1 million lives.
Labels: aspirin, cancer, Cholesterol, colorectal cancer, CVD(cardiovascular disease), heart attack, high blood pressure, life-saving, occulsive, statins, stroke, vascular disease
posted by G S Iyer at 11:16 PM
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