close
CARDIOLOGY

Can one tablet of aspirin per day prevent cardiovascular disease?

38399.jpg

Uncle Li, who was over seventy years old, suddenly fell into a coma this year. After being sent to the hospital, he found that intracranial hemorrhage reached 70 milliliters, and he could not stop the bleeding even after using the medicine for 2 days.After careful consultation by the careful doctor, he finally “pulled” the black hand behind the scene: aspirin.It turned out that Uncle Li had a cerebral hemorrhage three years ago. After he was discharged from the hospital, he was worried about “stroke” again, so he bought aspirin, Sanqi powder, and Danshen powder together to “heal”.Improper medicinal use eventually has such a result.I thought I was keeping in good health, but I didn’t know that it was actually “injuring the body” aspirin, which is a double-edged sword.On the one hand, it can prevent blood clots and relieve cardiovascular disease; on the other hand, it can also increase the risk of bleeding, of which digestive tract injury is the most common side effect.Especially in recent years, people have become more and more superstitious about the saying “aspirin, strong without disease”, and even the saying “one piece of aspirin per day can prevent cardiovascular disease”.Does one tablet of aspirin per day really prevent cardiovascular disease?Regarding this question, a study in Japan gives the answer.The 2014 Japan Primary Prevention Project [JPPP] study found that taking small doses of aspirin daily does not significantly benefit low- and medium-risk groups of cardiovascular disease.Subsequently, the US FDA integrated a large number of research data also showed that aspirin is not recommended for primary prevention of cardiovascular and cerebrovascular diseases.To use aspirin correctly, you must follow 4 rules. Aspirin can cause stomach irritation, but most clinically used aspirin is enteric-coated tablets, which have little stimulation to the stomach, so taking it on an empty stomach is best.Take 1 hour before or 2 hours after a meal.Taking aspirin should follow the principle of small dose and long-term use. Generally, the dosage of aspirin is 75 to 150 mg per day, so that it can not only achieve the best results, but also minimize the toxicity of the drug.However, it should be noted that aspirin cannot be taken together with anticoagulants, otherwise it will increase the risk of bleeding.When combined with adrenal cortex hormones, it can also induce ulcers; when used with some immunosuppressants such as methotrexate, it will increase its toxicity.Therefore, aspirin must be cautious when combining other drugs.Finally, it must be clear that not everyone can use aspirin, especially for the following three groups of people, it should be used with caution.In addition to aspirin is not available to people with gastric ulcers, aspirin should be contraindicated in people with high blood pressure, bleeding tendency, bleeding constitution, and allergy to aspirin.Finally, in addition, people with high uric acid are not suitable for taking aspirin. Aspirin will affect the excretion of uric acid and induce gout.Taking aspirin within three months of pregnancy can also cause abnormal fetal development, and pregnant women who take aspirin for a long time may have delayed delivery and bleeding.Pay attention to these side effects when taking aspirin: When taking aspirin, most of the adverse reactions are mainly symptoms of the digestive tract.The most common is gastrointestinal ulcers, including the appearance of the upper gastrointestinal tract and intestinal bleeding.In addition, long-term use of aspirin can cause subcutaneous bleeding, severe cases can also have bleeding gums or nose bleeding, especially in elderly women.At the same time, long-term use of aspirin may also have adverse effects of poisoning. Headache, dizziness, nausea, vomiting, and vision loss are all symptoms of aspirin poisoning.It can be seen that low-dose aspirin has a good anti-platelet aggregation effect, and is also commonly used by doctors for the treatment of various ischemic cardio-cerebrovascular diseases. However, the adverse reactions caused by aspirin are also very many.Aspirin must be alert to adverse reactions. If an adverse reaction or abnormal performance occurs, it should be stopped immediately and seek medical attention in a timely manner.Reprinting without permission from the author is prohibited

ouyangshaoxia

The author ouyangshaoxia