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Clinical:Cardiovascular disease
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Important Resources for Cardiovascular disease:
Contents |
Types
- Heart Attack (Myocardial infarction)
- Stroke
Prevention
Aspirin
Aspirin, in a low dose of less than 100 mg per day, can help prevent heart attack and stroke in people at risk.[1] The U. S. Preventive Services Task Force (USPSTF) encourages men aged 45-79 to consider taking low dose aspirin to prevent heart attack. Women ages 55-79 should consider aspirin therapy to prevent ischemic stroke. Studies suggest that in these populations, the benefits cardiovascular disease reduction by aspirin outweighs the potential risk of gastrointestinal bleeding from aspirin.
The risk of gastrointestinal bleeding related to aspirin increases with advancing age. Risk of hemorrhage also increases when [[Nonsteroidal Anti-inflammatory Drugs (NSAIDs)|non-steroidal anti-inflammatory agents are used in conjunction with aspirin.In patients over the age of 80, evidence is insufficient to assess the benefit of cardiovascular disease prevention by aspirin versus it's risk of gastrointestinal bleeding.
The USPSTF recommends against the use of aspirin for the prevention of myocardial infarction in men younger than 45 years and for the prevention of stroke in women younger than 55 years.
The optimal dose of aspirin to prevent heart attack and stroke is unclear. 75 mg of aspirin is considered a safe and effective dose.
Risk
| Men | Women | ||
|---|---|---|---|
| Age | 10 year CHD risk[2] | Age | 10 year stroke risk |
| 45-59 years | ≥ 4% | 50-59 years | ≥ 3% |
| 60-69 years | ≥ 9% | 60-69 years | ≥ 8% |
| 70-79 years | ≥ 12% | 70-79 years | ≥ 11% |
| Adapted from Figure 1 of the Task Force guideline[1] and Citizendium. | |||
Related Videos
An in-depth report about the condition between chronic kidney disease and cardiovascular disease:
(Video Donated by the NIH)
References
- ↑ 1.0 1.1 1.2 1. U. S. Preventive Services Task Force. Aspirin for the Prevention of Cardiovascular Disease: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2009 ;150(6):396-404.
- ↑ http://healthlink.mcw.edu/article/923521437.html
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