Responses to USPSTF Guideline on Aspirin for Prevention of Cardiovascular Disease
Authors: Vikram Budhraja
Journal: Annals of Internal Medicine (2009)

Letters20 October 2009Responses to USPSTF Guideline on Aspirin for Prevention of Cardiovascular DiseaseVikram Budhraja, MDVikram Budhraja, MDFrom Lincoln Medical and Mental Health Center, New York, NY 10451.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-151-8-200910200-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The recently updated U.S. Preventive Services Task Force (USPSTF) guidelines (1) on aspirin for primary prevention of cardiovascular disease are an ideal example of evidence-based medicine in action. Although we cannot fully explain why aspirin effects differ by sex, the evidence strongly suggests that they do. Now our guidelines, and practices, can reflect that. The concept makes intuitive sense: Target aspirin use to those who are most at risk for cardiovascular disease. Because cigarette smoking is a major risk factor for stroke and myocardial infarction, the updated guidelines imply that smokers are more likely to be given ...References1. U.S. Preventive Services Task Force. Aspirin for the prevention of cardiovascular disease: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2009;150:396-404. [PMID: 19293072] LinkGoogle Scholar2. Ridker PM, Cook NR, Lee IM, Gordon D, Gaziano JM, Manson JE, et al. A randomized trial of low-dose aspirin in the primary prevention of cardiovascular disease in women. N Engl J Med. 2005;352:1293-304. [PMID: 15753114] CrossrefMedlineGoogle Scholar3. The Medical Research Council's General Practice Research Framework. Thrombosis prevention trial: randomised trial of low-intensity oral anticoagulation with warfarin and low-dose aspirin in the primary prevention of ischaemic heart disease in men at increased risk. Lancet. 1998;351:233-41. [PMID: 9457092] CrossrefMedlineGoogle Scholar4. Kurata JH, Nogawa AN. Meta-analysis of risk factors for peptic ulcer. Nonsteroidal antiinflammatory drugs, Helicobacter pylori, and smoking. J Clin Gastroenterol. 1997;24:2-17. [PMID: 9013343] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Lincoln Medical and Mental Health Center, New York, NY 10451.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAspirin for the Prevention of Cardiovascular Disease: U.S. Preventive Services Task Force Recommendation StatementResponses to USPSTF Guideline on Aspirin for Prevention of Cardiovascular Disease Arun V. Mohan , Carmen Patrick Mohan , and Richard Balaban Responses to USPSTF Guideline on Aspirin for Prevention of Cardiovascular Disease Ned Calonge , Diana Petitti , and Mary Barton Metrics 20 October 2009Volume 151, Issue 8Page: 587KeywordsCardiovascular diseasesEvidence based medicineMedical risk factorsMyocardial infarctionObstetrics and gynecologyPeptic ulcersSexual identityThrombosis ePublished: 20 October 2009 Issue Published: 20 October 2009 CopyrightCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...