Joelseff Posted February 4, 2019 Share Posted February 4, 2019 https://www.mdedge.com/cardiology/article/193549/preventive-care/aspirin-primary-cardiovascular-prevention-rip?utm_source=News%5FPower%5FeNL%5F020319%5FF&utm_medium=email&utm_content=Trending%3A%20Revamped%20A%20fib%20guidelines%20%7C%20Suicide%20attempt%20reduction%20%7C%20Physician%20moms I already stopped advising pts to take a "baby aspirin" for Primary prevention a few years ago but seems like the verdict is in. Looks like we were wrong about its preventative properties for GI adenocarcinoma as well. Looks like ASA use INCREASED cancer risk... Sent from my SAMSUNG-SM-G891A using Tapatalk Link to comment Share on other sites More sharing options...
Moderator ventana Posted February 4, 2019 Moderator Share Posted February 4, 2019 my one question in the subset of DM - is it still recommended?? what about long term poorly controlled DM?? Link to comment Share on other sites More sharing options...
Probasesteal Posted February 4, 2019 Share Posted February 4, 2019 @ventana my exact thought reading the page. My assumption is yes, but we'll have to wait for the ADA/endocrine to guide us. Link to comment Share on other sites More sharing options...
Joelseff Posted February 4, 2019 Author Share Posted February 4, 2019 my one question in the subset of DM - is it still recommended?? what about long term poorly controlled DM?? I don't think so. It would still be Primary prevention despite comorbidities. I only continue ASA for pts with h/o MI or CVA etc. But yes we will have to see what ADA recs are. Edit: But now you got me thinking about it because DM is considered a Risk Factor equal to prior MI... Kind of a gray area though....the increased risk of Cancer death with ASA though should be considered... We'll see what other societies say. My CP says he still chooses to keep pts with DM over 50 and with other comorbidities on baby ASA but he clarifies this is a personal practice decision for him... Ok another edit: I found this in a Google search from NEJM that states that DM is no longer considered equal risk factor to previous MI unless the diabetic had 5 other risk factors... https://knowledgeplus.nejm.org/blog/patients-type-2-diabetes-take-aspirin-prevent-stroke-coronary-events/ This is why I am hating Primary Care lol. Cant we just get a consensus that's consistent across all disciplines? Sent from my SAMSUNG-SM-G891A using Tapatalk Link to comment Share on other sites More sharing options...
Moderator ventana Posted February 5, 2019 Moderator Share Posted February 5, 2019 Thanks guys - cleared it all up!! HeeHeeHee yeah the risk of DM seems to be with longevity and poor control newl;y dx II whom have good BS control and no other metabolic issues - nope to ASA older or poorly controlled one's =-- that gets me then their is the type 1's...... yup manage some of them and what are people doing with them?? Link to comment Share on other sites More sharing options...
newton9686 Posted February 6, 2019 Share Posted February 6, 2019 Im hospital medicine so take it with a grain of salt but i normally place my type 1s in the poorly controlled category, especially if they were diagnosed as a child. Teenage years are full of non-compliance and hyperglycemia that destroys the heart and kidneys. Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.