Looking for ways to reduce your risk of heart attack and stroke? A daily low-dose aspirin is no longer recommended as a preventative for older adults who don't have a high risk or existing heart disease, according to new guidelines
If you're a healthy older adult looking for ways to reduce your risk of heart attack and stroke, don't turn to that age-old standby: daily low-dose aspirin. It's no longer recommended as a preventative for older adults who don't have a high risk or existing heart disease, according to guidelines announced Sunday by the American College of Cardiology and the American Heart Association.
With daily low-dose aspirin use, risks may outweigh benefits for older adults "For the most part, we are now much better at treating risk factors such as hypertension, diabetes and especially high cholesterol," said North Carolina cardiologist Dr. Kevin Campbell, who wasn't involved in the new guidelines."This makes the biggest difference, probably negating any previously perceived aspirin benefit in primary prevention.
First-line medication should include metformin, the guidelines say. If additional medications are needed, two new classes of medications are showing promise in reducing cardiovascular events in those with Type 2 diabetes: SGLT-2 inhibitors, which work to increase glucose and sodium removal via the kidneys; and GLP-1R agonists, which increase insulin and glucose production in the liver.
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