Mixed
Aspirin should be used infrequently in the routine primary prevention of atherosclerotic cardiovascular disease (ASCVD) because of lack of net benefit.
Do not start taking daily aspirin for heart disease prevention without discussing it with your doctor. For most people in primary prevention, the risk of bleeding outweighs the benefits. Focus on lifestyle changes like diet and exercise instead.
Aspirin should be used infrequently in the routine primary prevention of ASCVD because of lack of net benefit.
Why this rating
Based on systematic reviews and RCTs cited in the guideline (though specific LOE not explicitly listed in the summary text for this specific point, it is a major shift from prior guidelines).
Source
2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
Donna K. Arnett et al. · Circulation · 2019
DOI 10.1161/cir.0000000000000677
More from this paper
- Adults should engage in at least 150 minutes per week of accumulated moderate-intensity or 75 minutes per week of vigorous-intensity aerobic physical activity to reduce atherosclerotic cardiovascular disease (ASCVD) risk.Strong
- A healthy diet emphasizing vegetables, fruits, legumes, nuts, whole grains, and fish, while minimizing processed meats, refined carbohydrates, and sweetened beverages, decreases ASCVD risk factors.Good
Related findings · Mixed
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