Infarction or stroke: the benefit of aspirin questioned


DECRYPTION – In primary prevention, that is to say before the occurrence of a cardiovascular incident, the risk is real.

Many patients are still prescribed it, and yet… Taking low-dose aspirin every day to avoid a possible myocardial infarction or stroke is useless, even dangerous. The mass is said: the very influential American learned society, the US Preventive Services Task Force (USPSTF), has in fact just issued recommendations condemning the use of aspirin in primary prevention (i.e. before the occurrence of a cardiovascular event) in people at risk aged 60 and over. In 40-59 year olds with risk factors, the net benefit is “weak” and the “decision should be individual”experts say.

We can speak of a real turnaround. In 2016, the same
USPSTF still recommended aspirin for people with an estimated 10% risk of having a heart attack or stroke within 10 years. She was not the only one: several institutional recommendations…

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