What is primary and secondary prevention of cardiovascular and cerebrovascular events?
Primary prevention of cardiovascular and cerebrovascular events: For people who have never had an embolic vascular event, measures are taken to prevent the first vascular event from occurring.
Secondary prevention of cardiovascular and cerebrovascular events: For people who have already had a thromboembolic event, measures are taken to prevent the recurrence of the event.
Who is suitable to take aspirin? (Applicable groups of aspirin)
1, primary prevention and secondary prevention of myocardial infarction.
2.Acute myocardial infarction, angina pectoris.
3, primary prevention, secondary prevention of cerebral infarction.
4.Acute cerebral infarction, transient ischemic attack.
5, post-angioplasty (coronary artery bypass grafting, vascular interventions, etc.).
6, atrial fibrillation.
7, peripheral arterial occlusive disease.
8, valvular heart disease.
What is the dose of aspirin?
Evidence-based medical evidence suggests that the dose of aspirin to prevent cardiovascular events ranges from 75-325 mg/day, with long-term aspirin doses of 100 mg/day, with uncertain efficacy at doses less than 75 mg/day and no significant increase in efficacy at doses greater than 150 mg/day and an increase in adverse effects. The optimal dose for long-term use is 100 mg aspirin per day. 100 mg is the optimal dose for long-term use, and the dose may be increased during acute clinical cardiovascular episodes. However, the long-term dose of 100mg per day should be followed.
Why take enteric aspirin?
Because enteric aspirin has an enteric coating on its exterior to avoid damage to the gastric mucosa by leaching the drug in the stomach.
What is the best time to take aspirin?
Since the high incidence of cardiovascular events is between 6:00 and 12:00, and the human body is less active at night, the blood is sticky and platelets are easily aggregated, some articles suggest that aspirin is more beneficial when taken at night, but there is no evidence-based medical evidence to prove that taking aspirin at night is more effective in preventing cardiovascular events than taking aspirin in the morning, because the anti-platelet aggregation effect of aspirin is continuous, so it is important to take aspirin every day. It is important to adhere to daily aspirin use.
How is aspirin used in diabetic patients?
Patients with diabetes may benefit from primary prevention with aspirin. Patients with diabetes combined with one of the following risk factors should take aspirin 100 mg daily for long-term primary prevention of cardiovascular disease: these factors include
1. age >40 years.
2. family history of cardiovascular disease.
3, smoking.
4, hypertension.
5, dyslipidemia.
6, proteinuria.
Can patients with thrombocytopenia take aspirin?
Aspirin should be used with caution in these patients. The cause of thrombocytopenia should be identified and treated first. The use of aspirin depends on the clinical situation. From clinical experience, it is prohibited in principle when platelets are below 8X109/L.
What is the duration of treatment with aspirin?
The American Heart Association, American Stroke Association, and European Heart Association guidelines recommend that low-dose aspirin should be taken for life in patients with cardiovascular disease and high-risk factors, if not contraindicated.