Stopping Aspirin Intake Raises Risks of Heart Attack

Doctors commonly prescribe daily low-dose aspirin after a heart attack to reduce the risk of having a second cardiovascular event. (Reuters)
Doctors commonly prescribe daily low-dose aspirin after a heart attack to reduce the risk of having a second cardiovascular event. (Reuters)
TT
20

Stopping Aspirin Intake Raises Risks of Heart Attack

Doctors commonly prescribe daily low-dose aspirin after a heart attack to reduce the risk of having a second cardiovascular event. (Reuters)
Doctors commonly prescribe daily low-dose aspirin after a heart attack to reduce the risk of having a second cardiovascular event. (Reuters)

Doctors commonly prescribe daily low-dose aspirin after a heart attack to reduce the risk of having a second cardiovascular event.

About one in six patients however stop taking their aspirin within three years, a Swedish study found. It warned against stopping the low dose of aspirin, because it raises the risk of heart attack or stroke by nearly 40 percent.

Lead author of the study Dr. Johan Sundstrom told Reuters Health that low-dose aspirin makes the platelets in the blood less likely to form clots. This is especially useful in the coronary or carotid arteries, where blood clots may lead to myocardial infarctions and strokes.

Sundstrom, an epidemiologist at Uppsala University added that millions of patients worldwide take aspirin on a daily basis and might consider stopping at some time during their life.

“We performed this study to help physicians and patients to make an informed decision whether or not to stop aspirin use,” he explained.

To see if risk rises after a patient stops aspirin therapy, Sundstrom’s team used nationwide medical and death registries to identify patients over age 40 taking low-dose aspirin. In Sweden, low-dose aspirin is available only by prescription, so the researchers were also able to see who continued filling their prescriptions between 2005 and 2009.

The researchers analyzed records for 601,527 patients, who were cancer-free and had taken at least 80 percent of their prescribed aspirin doses during the first year of treatment. After excluding a small proportion of patients whose medical records showed a reason for stopping aspirin, such as surgery or a case of severe bleeding, they found that about 15 percent of the full group had stopped taking their aspirin after about three years.

At the end of the study period, there were a total of 62,690 cardiovascular events, defined as hospitalization for a heart attack or stroke, or cardiovascular death.

The study lead author said patients who discontinued aspirin had a 37 percent higher rate of cardiovascular events than those who continued. That translates to one extra cardiovascular event each year among every 74 patients who stopped taking aspirin.

The risk increased shortly after discontinuation, and did not appear to diminish over time, he added.

“Adherence to low-dose aspirin treatment in the absence of major surgery or bleeding is likely an important treatment goal,” stressed Sundstrom.



Coffee Overtaking Tea Culture in the UK

“Fancy a brew?” is no longer as familiar as it once were as coffee has overtaken tea in the UK (Getty)
“Fancy a brew?” is no longer as familiar as it once were as coffee has overtaken tea in the UK (Getty)
TT
20

Coffee Overtaking Tea Culture in the UK

“Fancy a brew?” is no longer as familiar as it once were as coffee has overtaken tea in the UK (Getty)
“Fancy a brew?” is no longer as familiar as it once were as coffee has overtaken tea in the UK (Getty)

Discover the hidden gem of the UK's coffee culture, where vibrant independent cafes outshine the chains, offering a unique blend of flavors and atmospheres.

“Fancy a brew?” “I'll put the kettle on then.” Hearing those words are no longer as familiar as it once were as coffee has overtaken tea in the UK, The Daily Express newspaper reported on Monday.

It said grabbing a coffee either on the go or at a café is as part of British culture these days as it is in Italy.

But while every person has its favorite chain, be it Pret, Starbucks, Costa or Cafe Nero, nothing beats finding a decent independent coffee shop one can call home especially when it can seem high streets are dominated by the same chains.

So with the demand for coffee only growing, where is the best spot in the UK to find an independent coffee shop?

A study by Reviva Coffee reveals the UK city that is the hidden gem when it comes to thriving coffee culture.

And it probably isn't where you'd expect. In fact this county is synonymous with tea. Yorkshire Tea, to be precise.

However the study discovered the best UK city to find independent coffee shops is in the Yorkshire city of Leeds. It has a staggering 584 coffee shops, of which 86.3% are independent, and just under 14% are chains.

Placing second is Edinburgh. Whether you’re a coffee connoisseur or just needing a cosy pit stop, Edinburgh has you covered with its outstanding coffee scene with 560 shops, 85% of which are independents.

In third for best UK cities for independent coffee shops is Bristol which has 347 coffee shops, 86.3% of which are independent.