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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)
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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.

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Saudi Hospitality: From Tradition to Serving Hajj and Umrah Pilgrims

Founded by a group of dedicated volunteers and experts, the Association for Pilgrims and Umrah Services focuses on ensuring the safety and comfort of pilgrims at the start of their journey. (Asharq Al-Awsat)
Founded by a group of dedicated volunteers and experts, the Association for Pilgrims and Umrah Services focuses on ensuring the safety and comfort of pilgrims at the start of their journey. (Asharq Al-Awsat)
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Saudi Hospitality: From Tradition to Serving Hajj and Umrah Pilgrims

Founded by a group of dedicated volunteers and experts, the Association for Pilgrims and Umrah Services focuses on ensuring the safety and comfort of pilgrims at the start of their journey. (Asharq Al-Awsat)
Founded by a group of dedicated volunteers and experts, the Association for Pilgrims and Umrah Services focuses on ensuring the safety and comfort of pilgrims at the start of their journey. (Asharq Al-Awsat)

Arabs have a long-standing tradition of hospitality, treating guests with the utmost respect.

This value remains strong in Saudi Arabia, where generosity extends beyond family gatherings and friend visits to include the Hajj pilgrims and Umrah performers. For them, the Kingdom becomes a second home, with open doors and hearts.

In northern Saudi Arabia, near border crossings that welcome travelers from neighboring countries, the Association for Pilgrims and Umrah Services plays a key role.

Founded by a group of dedicated volunteers and experts, the association focuses on ensuring the safety and comfort of pilgrims at the start of their journey.

The association operates at key border points like Jadeedah Arar and Al-Hadithah, the main entry points for pilgrims coming by land from countries such as Iraq, Jordan, Palestine and Syria.

Close by, the association has set up a fully equipped city for pilgrims, offering a field hospital, relaxation areas, food services and guidance to make their spiritual journey easier.

Speaking to Asharq Al-Awsat, Badr Al-Shammari, the chairman of the board of directors of the Association for Pilgrims and Umrah Services in Al-Jawf region, told Asharq Al-Awsat: “We are the first point of contact for pilgrims arriving from the north. Our goal is to provide an exceptional experience, ensuring pilgrims feel safe and comfortable, with all the medical and food services they need.”

The association goes beyond basic services, launching innovative projects to tackle challenges. One key initiative is the mobile workshop for fixing broken buses on the route between border crossings and Madinah. The team is always ready to respond quickly, reducing delays and easing the journey for pilgrims.

From the moment pilgrims arrive at the association's site, the team works with local government agencies to provide continuous care and services around the clock.

If pilgrims face health issues, they are immediately examined at the field hospital. For more serious conditions, they are transferred to nearby public hospitals.

One touching story that highlights the association’s humanitarian work involved an elderly pilgrim who fell ill and was taken to a health center by the association's team.

After receiving initial treatment at the field hospital, he was transferred to a public hospital. Once he recovered, he asked how to pay for the medical services he had received. He was surprised to learn that all services were free, as directed by Custodian of the Two Holy Mosques King Salman bin Abdulaziz.

Moved, the pilgrim told the team: “I never expected such care and services. Everything was organized, and the staff truly cared about my comfort. I pray that God protects this country and its people.”

At a Hajj and Umrah Conference in Jeddah, Al-Shammari explained that the association’s mission goes beyond providing daily services.

“Our work is a noble mission aimed at fully supporting the guests and helping them perform their rituals easily and comfortably. This is a great honor,” he stressed.