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AHA/ACC/HRS

New A-Fib Guidelines: Ditch the Aspirin for Stroke Prevention

“Many patients with atrial fibrillation may be taking aspirin because they think it is ‘good for their health,’ said Dr T Jared Bunch of Intermountain Medical Center, Murray, UT. “But if they are not taking it for a prescribed reason (because they have CAD or a stent), they should stop taking aspirin because it adds risk over time.”

As I reported in my 2015 AF Symposium report:

Aspirin is no longer recommended as first-line therapy to prevent A-Fib stroke.

It’s amazing how many of us have been convinced to take a baby aspirin daily to improve heart health and to prevent a stroke (myself included).

Taking an aspirin isn’t like taking a vitamin. Aspirin is a pharmaceutical drug.

We now know we are risking tearing up our stomach with GI bleeds and developing a hemorrhagic stroke.

It’s all too easy to take an aspirin―we don’t need a prescription to get it. But taking an aspirin isn’t like taking a vitamin. Aspirin is a pharmaceutical drug.

Tablets - photo by  holohololand

photo by holohololand

Discuss Aspirin Therapy With Your Doctor: You should discuss aspirin therapy with your doctor just as you do for any other (by prescription) blood thinner. You might want to take along a copy my AF Symposium report, AHA/ACC/HRS Treatment Guideline Changes.

Note: Suddenly stopping daily aspirin therapy could have a rebound effect that may trigger a blood clot. If you have been taking daily aspirin therapy and want to stop, it’s important to talk to your doctor before making any changes.

AF Symposium 2015: What You Need to Know About AHA/ACC/HRS Treatment Guideline Changes

Dr. Hugh Calkins

Dr. Hugh Calkins

Dr. Hugh Calkins from Johns Hopkins University discussed the new AHA/ACC/HRS Guidelines for the Treatment of Atrial Fibrillation and how they now differ somewhat from the European (ESC) Guidelines. The AHA/ACC/HRS Guidelines are an important reference for your cardiologist and electrophysiologist. Read my summary of his presentation including these key points:

Aspirin no longer recommended as first-line therapy (downgraded in the 2006 and 2014 guidelines);

Gender-bias in Guidelines?: Should every woman with A-Fib be given a point on the Guidelines risk scale?;

What Happens to Someone Taking Anticoagulants for Years?: Unlike what you hear in today’s advertising, anticoagulants are not like taking vitamins;

Concern About Leaving Patients in A-Fib: If you leave someone in A-Fib, you may never be able to get them back into sinus rhythm.

Learn must more from Dr. Calkins presentation. Read my AHA/ACC/HRS Guidelines summary report.

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