New guidelines don't recommend aspirin for heart disease prevention

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New guidelines don't recommend aspirin for heart disease prevention
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New guidelines say people 60 and older shouldn't take aspirin to prevent heart disease. We spoke with a cardiologist from UT Southwestern Medical Center about the new guidance.

The US Preventive Services Task Force says people over the age of 60 should not take low-dose aspirin for prevention of cardiovascular disease.

The new guidelines released Tuesday also say people 40 to 59 years old should make their own decision on taking aspirin. The task force says the benefit is small for this age group. We spoke with Dr. Amit Khera, Cardiologist for the UT Southwestern Medical Center, about the new guidelines. If you already have had a heart attack and stroke, these guidelines do not pertain to you. Largely, it's a good thing to review the new evidence every few years, the last USPSTF guideline was 2016. So a lot has happened and mainly some new studies came out that really helped us understand that balance of risk and benefit with aspirin. It was time to sort of relook at that.

Aspirin has been around literally for thousands of years and people just assume it's benign and has no no downsides. That's not correct and that that's the focus here in realizing that aspirin can be beneficial, but it also has harms and we've ignored those harms all along. When we're talking about preventing heart attacks and strokes, people are taking it for decades, and that can really lead to ulcers and bleeding risk.

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