Is a Daily Asprin Regimen Appropriate for Everyone?

We asked Dr. Srinivas Murali, M.D., director of the Division of Cardiology at Allegheny General Hospital, to answer one of your health questions.



Q: Is a daily asprin regimen appropriate for everyone?

A: A daily aspirin is recommended for those who have suffered a heart attack or stroke, or those who are considered to be at a high risk for either. Aspirin therapy reduces the clumping action of platelets, thereby promoting blood flow to the heart and brain, which could prevent a heart attack or stroke.

Aspirin can affect men and women differently. Studies have shown that in adult men of all ages, aspirin reduces risk of heart disease and prevents a first and second heart attack. In women younger than 65 years, aspirin reduces heart disease risk, prevents a first stroke and also prevents a second heart attack. For women over 65 years of age, aspirin reduces heart disease risk, prevents a first stroke and prevents first and second heart attack.

The risk of bleeding from aspirin therapy is similar in men and women. Avoid taking aspirin if you have a known bleeding disorder, allergy to aspirin or inflammation or ulcer in your stomach. Enteric-coated aspirin, which is designed to pass through the stomach and not disintegrate until it reaches the intestines, may be appropriate for some people who have a history of stomach ulcers.

There is no uniform dose of aspirin you should take to get the benefits of daily aspirin therapy. Discuss the appropriate dose for you with your doctor.

Whether you take aspirin or not, it is very important that you attend to other risk factors for heart attack and stroke, which include smoking tobacco, high blood pressure, high cholesterol, diabetes, physical inactivity and stress.
 


Submit your own health question for our Top Doctors. Your question might be included in an upcoming Top Docs Q&A.

Hot Reads

Review: Sienna Mercato

Review: Sienna Mercato

Matthew Porco, one of our Chefs of the Year, designs the menus at Sienna Mercato's downtown establishments.
An Open Letter to Local Sports Reporters

An Open Letter to Local Sports Reporters

PittGirl has had enough of the criticism of fanatics and asks the media to stop labeling everyone.
Film Noir Fall Fashion

Film Noir Fall Fashion

Fall into autumn with a fashion landscape awash in black, white and nifty shades of gray.
8 Foodie Day Trips (and a Few Weekends, Too)

8 Foodie Day Trips (and a Few Weekends, Too)

Hoping to take a leaf-peeping road trip? Keep food at the top of your priority list and consult our lineup of eight destinations, most within 150 miles of the city.

The 412

The 10 Most Important Concerts in Pittsburgh History

The 10 Most Important Concerts in Pittsburgh History

We went one on one with legendary promoter Rich Engler to get the scoop on which shows have stood out over time.
8 Photos That Best Capture Summer in Pittsburgh

8 Photos That Best Capture Summer in Pittsburgh

Just because the season's winding down doesn't mean you have to be glum. Savor these images that capture all that you love about the city.
Pittsburgh: America's Most Livable City ... Again?

Pittsburgh: America's Most Livable City ... Again?

It feels good to be at the very top of The Economist's list of high-ranking metropolises in the continental U.S.
Girl Talk Represents Pittsburgh in Esquire's 'Style Across America' Feature

Girl Talk Represents Pittsburgh in Esquire's 'Style Across America' Feature

On the publication's 10-day, 17-city tour of the States, it chose DJ Gregg Gillis as an example of someone redefining men's style.

Hot Reads

Review: Sienna Mercato

Review: Sienna Mercato

Matthew Porco, one of our Chefs of the Year, designs the menus at Sienna Mercato's downtown establishments.
Film Noir Fall Fashion

Film Noir Fall Fashion

Fall into autumn with a fashion landscape awash in black, white and nifty shades of gray.
An Open Letter to Local Sports Reporters

An Open Letter to Local Sports Reporters

PittGirl has had enough of the criticism of fanatics and asks the media to stop labeling everyone.
8 Foodie Day Trips (and a Few Weekends, Too)

8 Foodie Day Trips (and a Few Weekends, Too)

Hoping to take a leaf-peeping road trip? Keep food at the top of your priority list and consult our lineup of eight destinations, most within 150 miles of the city.
From Field to Fork

From Field to Fork

We put together this dynamic guide to help you find and engage with the region’s sustainable producers of meat, honey, alcohol, fruits and vegetables.
Sometimes Your Best Friends in Life Aren't on Facebook

Sometimes Your Best Friends in Life Aren't on Facebook

PittGirl wonders if it's still possible to raise kids to be big-hearted people in an age of self-obsession.