[rdmirza]

This piece entirely misses the point of the recommendation.

The new recommendation is that aspirin should not be used to prevent heart attack in those without a history of heart disease (ie avoid routine aspirin for "primary prevention"). Aspirin for primary prevention has always been a grey area. The reversal came after a large trial in the New England Journal of Medicine looking at this. The trial showed the decrease in cardiovascular events was balanced by a similar increase of bleeds. So it's still grey because some people would prefer to bleed because blood is easily replaceable, your heart is not.

What remains clear is that people who have had heart attacks, strokes, or peripheral arterial disease should in most cases continue their anti-platelet agent.

[nkrumm]

Here is the actual draft of the recommendation as well as supporting evidence: https://www.uspreventiveservicestaskforce.org/uspstf/recomme...

Edit: Here's the document that actually outlines "what changed" from 2016 to the current draft: file:///Users/nkrumm/Downloads/aspirin-use-cvd-prevention-draft-modeling-report.pdf

[hdjjhhvvhga]

You may wish to edit your edit.

[unethical_ban]

I don't see how what the article says and what you say are in conflict.

The recommendation used to be "just take aspirin, you won't have a heart attack" and now it's "wait, this could be bad, let's qualify that".

He uses this as a lead-in to discuss the concepts of NNT and NNH. It makes sense.

[AlbertCory]

I saw a cardiologist for a routine checkup (no medical events had occurred). She said my EKG looked great and I would probably live to 102 (that's a while from now, in case you're wondering), but still recommended that I take a low-dose aspirin.

So I am planning to stop now. It seems like I'm a poster child for "stop taking daily aspirin."