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.



North Riyadh Geopark, Salma Geopark Join UNESCO’s Global Geoparks List

The newly recognized geoparks will serve as key destinations for local and international visitors, offering an opportunity to explore the Kingdom’s geological wonders while fostering scientific and cultural awareness of geodiversity conservation - SPA
The newly recognized geoparks will serve as key destinations for local and international visitors, offering an opportunity to explore the Kingdom’s geological wonders while fostering scientific and cultural awareness of geodiversity conservation - SPA
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North Riyadh Geopark, Salma Geopark Join UNESCO’s Global Geoparks List

The newly recognized geoparks will serve as key destinations for local and international visitors, offering an opportunity to explore the Kingdom’s geological wonders while fostering scientific and cultural awareness of geodiversity conservation - SPA
The newly recognized geoparks will serve as key destinations for local and international visitors, offering an opportunity to explore the Kingdom’s geological wonders while fostering scientific and cultural awareness of geodiversity conservation - SPA

The United Nations Educational, Scientific and Cultural Organization (UNESCO) has officially designated the North Riyadh Geopark and Salma Geopark as part of its UNESCO Global Geoparks Network, marking a significant milestone for Saudi Arabia in preserving geoheritage and promoting sustainable development.
The recognition follows UNESCO’s stringent selection criteria, which emphasize the comprehensive management of geoparks. These criteria ensure a balance between conservation, education, and sustainable development while actively involving local communities.
CEO of the National Center for Vegetation Cover Development and Combating Desertification (NCVC) Khaled Al-Abdulkader praised the announcement as a testament to Saudi Arabia’s dedication to protecting its natural and historical heritage, SPA reported.
He attributed the achievement to the steadfast support of the Saudi leadership in enhancing environmental initiatives and promoting sustainability.
He also underscored NCVC’s efforts to preserve the country’s unique natural landscapes, particularly its geological sites, in line with Vision 2030’s sustainable development goals.
Senior Director of the Saudi Geoparks Initiative Hussam Al-Turki emphasized that the inclusion of North Riyadh Geopark and Salma Geopark is a moment of national pride. He noted that this milestone not only reinforces Saudi Arabia’s commitment to preserving its cultural and natural identity but also strengthens its role as a global leader in geoheritage conservation and sustainable development.
With this designation, Saudi Arabia reaffirms its commitment to global environmental efforts.

According to SPA, the newly recognized geoparks will serve as key destinations for local and international visitors, offering an opportunity to explore the Kingdom’s geological wonders while fostering scientific and cultural awareness of geodiversity conservation.
Beyond geotourism, geoparks play a vital role in sustainable natural resource management by connecting geotourism with local economic development, creating jobs, and fostering environmental education. This initiative represents a collaborative effort among government bodies, the private sector, and non-profit organizations, enhancing Saudi Arabia’s contribution to both national and sustainable development goals.