Talk With Your Health Care Provider About Taking Aspirin to Prevent Heart Attacks

This patient brochure provides information about the use of aspirin to prevent myocardial infarctions in men.

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How does aspirin help men prevent heart attacks?

Plaque is a sticky substance that sometimes builds up and blocks arteries that carry blood to the heart. This can cause heart disease, including angina ("AN-je-nah") and heart attacks. Aspirin can help blood flow smoothly to the heart.

If you are a man aged 45-79, talk with your provider about whether to take aspirin to reduce the chances of a heart attack.

Does aspirin also help women prevent heart attacks?

Aspirin is not useful for preventing heart attacks in women, but it is useful for preventing strokes. Go to the brochure, Talk with Your Health Care Provider About Taking Aspirin to Prevent Strokes, for more information.

What increases the chances of having a heart attack?

The older you are, the greater the chances that you can have a heart attack.

Other risk factors for heart attack include:

• High blood pressure.
• Diabetes.
• High cholesterol level.
• Smoking.

The more of these risk factors you have, the greater your chances of having a heart attack.

How much can aspirin reduce the chance of having a heart attack?

It depends on your age, your health, and your lifestyle.

If you smoke, the best way to prevent a heart attack is to quit smoking.

Whether you smoke or not, taking aspirin gives you some protection against a heart attack. In general, aspirin reduces the chance of a first heart attack by about 32% in men.

You can use the following Web site to calculate your specific chance of a heart attack. You can also see how much aspirin will reduce your chances: http://hp2010.nhlbihin.net/atpiii/calculator.asp.

Is there any harm in taking aspirin?

Taking aspirin can cause bleeding in the stomach. This can sometimes be serious. This risk increases with age. This risk also increases if aspirin is used together with another anti-inflammatory medicine like ibuprofen or naprosyn (Advil®, Motrin®, Naproxen®, Aleve®, etc.).

Taking aspirin also increases the chances of a rare kind of stroke.

Should you take aspirin?

It's always a good idea to talk with your provider before taking aspirin to prevent a heart attack.

• If you have already had a heart attack, you should take aspirin unless your provider says not to.
• If your chances of a heart attack are high, the benefits of taking aspirin probably outweigh the harms.
• Older people are more likely to have a heart attack. But, they are also more likely to have serious stomach bleeding if they take aspirin.

How much aspirin should you take?

If you and your provider decide that aspirin is right for you, then you should take either:

• One baby aspirin (81 mg) every day, or
• One regular aspirin (325 mg) every other day.

Taking more aspirin is not any better and can cause serious stomach bleeding. If you have side effects, tell your provider.