PATIENT EDUCATION

Please copy this article to your office stationary and hand it out to your patient base this week. Remember the more your patients feel you are attached to them, the more they will be attached to you.  Which translates into longer term retention and referrals.

Is aspirin useful in primary prevention?

Abstract

There is no evidence that aspirin is effective for the primary prevention of cardiovascular events, although it may change the way that they present. Indeed, there is no evidence that long-term aspirin should be given to patients even with known cardiovascular disease. Theoretical arguments that aspirin can prevent cardiovascular events by reducing the propagation of thrombus are countered by evidence that plaque haemorrhage from vasa vasorum may also cause plaque growth and instability.

There is evidence that aspirin causes serious bleeding into the brain and the gut. Aspirin may also detract from the benefits of drugs that have definite cardiovascular benefits, such as angiotensin-converting enzyme inhibitors. Meta-analysis is prone to multiple biases in favor of aspirin, including publication bias, bias due to trial and endpoint selection and bias due to interpretation. Meta-analysis should not be relied on in preference to adequately powered clinical trials. Unfortunately, the benefits of aspirin, if they exist, may be so small that a very large study indeed would be required to demonstrate that its benefits outweigh its risks. The evidence that aspirin might reduce cancer is intriguing but relies on data from trials conducted many decades ago using a wide range of aspirin doses. There is no reliable evidence that aspirin used in the current fashionable doses of 50–100 mg/day is of any benefit in any common clinical setting.

1.   John G.F. Cleland^*,†

+ Author Affiliations: Imperial College London (Royal Brompton & Harefield Hospitals), London, UK and Department of Cardiology, Castle Hill Hospital, Hull and York Medical School, University of Hull, Kingston-upon-Hull HU6 5JQ, UK   ↵^*Corresponding author. Tel: +44 1482 1776; Fax: +44 1482 1779, Email: j.g.cleland@hull.ac.uk.