U.S. doctors online nowAsk doctors free
Warren, PA
A 33-year-old male asked:

At 33, my doctor mentioned because my dad died at 52 of heart disease i should consider aspirin therapy now. i already take garlic, fish oil, and q10, am a non-smoker and exercise. should i?

4 doctor answers7 doctors weighed in
Dr. Matt Wachsman
A Verified Doctoranswered
Internal Medicine 38 years experience
Very Controversial: because Most people have a risk under 1/1000 per year of heart attack (if No personal history), the risk of ulcer from Aspirin is higher. Your situation.... Without an actual examination, I cannot give specific medical advice on your particular health.... but, 81 mg Aspirin has a better likelihood of working than a high dose, and a bit safer
Created for people with ongoing healthcare needs but benefits everyone.
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: Though garlic and fish oil in adequate doses have been shown in some studies to beneficially affect blood lipids, only Aspirin in small doses, 85mg daily, has been shown to protect from heart attack due to coronary artery thrombosis.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Regina Druz
Cardiology 43 years experience
Primary prevention: Taking aspirin for primary prevention (in a situation when you are not known to have heart disease) is not advisable anymore. Consider coronary artery calcium test or carotid artery ultrasound (for thic or vascular reactivity testing to see if there is evidence of early blockages in your arteries. If there is, taking aspirin would be helpful, and worth the risk. Calcium score is the easiest to get
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Anita Prakash
Cardiology 31 years experience
More important than Ca++ score, carotid intima thickness, would really be your lipid panel. IF your lipid panel is great as I suspect it will be with your healthy ways + your pre-menopausal status, do not do unnecessary testing that may lead furthermore to anxiety and false +. Maintain a heart healthy lifestyle and check your fasting lipid panel. No aspirin either now.
Oct 7, 2014
Dr. Manjeet Singh
Cardiac Electrophysiology 12 years experience
Family History: Since you have strong family history of heart disease, it is probably beneficial that you start taking baby aspirin and modify your diet and lifestyle.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jan 2, 2016

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.