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Doctor insights on: Heart Attack Aspirin Hoax

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Dr. Creighton Wright
1,180 Doctors shared insights

Myocardial Infarction (Definition)

Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more


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How does aspirin help you during a heart attack?

How does aspirin help you during a heart attack?

Aspirin: Aspirin blocks platelet clumping that contributes to the blockage of the coronary artery that is the cause of a heart attack.

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How do you give aspirin to someone who is having a heart attack?

How do you give aspirin to someone who is having a heart attack?

Oral: Pill and sip, of water. Under tongue can get some absorption if not swallowing. Rectal suppository if available, and if not able to swallow a pill.

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Does having one tablet of aspirin everyday after the age of 40 help avoiding a heart attack?

Does having one tablet of aspirin everyday after the age of 40 help avoiding a heart attack?

Not in everyone: Only those with sufficient risk factors will benefit from the daily aspirin. Talk to your primary care doctor to determine if you need it, since taking it without an indication can lead to gastric bleeding.

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Does 325 mg of aspirin have same protective benefits for heart attack as 81 mg? Is one better than other?

Does 325 mg of aspirin have same protective benefits for heart attack as 81 mg? Is one better than other?

81 usually enough: For most people, 81mg is enough protection without the increased bleeding risk of 325mg. Normally you only need 325mg if you have a heart attack or stroke while on 81mg or if you have bypass. But many cardiologists still use 325mg no matter what the studies say.

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How can aspirin help during a heart attack? Are there any diseases/conditions where aspirin should not be taken?

Proven benefit: There is good data - old but good - showing that people having a heart attack have increased survival when given an aspirin. It is a mild blood thinner, which is how we believe it helps. During a heart attack, the only contraindication would be active bleeding. If you are taking it to prevent a heart attack, however, that is different. I'd see your doctor in that case to discuss the risks.

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Hypothetically; If I were to have a heart attack would it be safe for me to take Aspirin and to keep it on me at all times?

Hypothetically; If I were to have a heart attack would it be safe for me to take Aspirin and to keep it on me at all times?

Depends: If you already had a heart attack, chronic Aspirin therapy is recommended as the risks of bleeding outweigh the risk of having another heart attack. For primary prevention (to prevent the very first heart attack) it is only recommended for patients at high risk of having a heart attack but not everyone, as it does increase the odds of bleeding.

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What's the right dose of aspirin.? To prevent an heart attack?

What's the right dose of aspirin.? To prevent an heart attack?

Baby aspirin: 81 mg (as opposed to 325 mg daily) usually taken every day or even every other day has been shown to be equally effective for prevention heart attacks- with no other risk factors than - note this is still controversial as some docs still recommend 162-325 mg daily. I do defer to my cards colleagues and leave my patients on what they recommend.

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Can aspirin slow down a stroke the same way it does to a heart attack?

Can aspirin slow down a stroke the same way it does to a heart attack?

Yes: Aspirin is an anti-platelet agent and thus helps prevent the small arteries from being obstructed by circulating platelet clots and it has been proven to reduce the risk of heart attacks as well as strokes considerably.

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Is it better to take aspirin at night or morning to prevent heart attack?

Interesting???: I don't know if that has ever been studied, my guess would be that night is better since early am is a frequent time for chest pain, and you might not be taking this early enough in the day otherwise. What is important is to take it daily.

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What dose of aspirin reduces the chance of heart attack and or stroke please?

What dose of aspirin reduces the chance of heart attack and or stroke please?

81 mg: Some recommend325 mg daily but likely for most average size folks, 81 mg daily suffices. Early studies used as much as 325 3times daily.

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Is it true that aspirin does not help women to prevent a heart attack? Just read that in several sites online and im worried

Yes and no: Recent large studies following women who took low dose 81 mg Aspirin over several years found that it was ineffective in preventing heart attacks but did reduce strokes in woman over 65. At the time of a heart attack or suspected heart attack it is strongly recommended that both men and women swallow two full crushed aspirins which can help dissolve blood clots in the coronary arteries.

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How does baby aspirin decrease the risk of a heart attack?

Decrease clumping: Asporin is a platelet inhibitor a d prevents clumping of them on an unstable air any plaque in the coronary arteries.

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Should older persons without heart problems take an aspirin daily to prevent a heart attack?

Maybe: While in previous years Aspirin was recommended for most men and women over age 55, this question has recently been reexamined with now much different recommendations. For men the current recommendation is for 81mg of Aspirin only in men with known coronary artery disease to prevent heart attacks. For women the recommendation is 81 mg only for women over age 65 to prevent strokes.

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People say to take 81 mgs. Aspirin if having a heart attack. I think also to add HTN meds, if already prescribed. Combo more helpful?

People say to take 81 mgs. Aspirin if having a heart attack. I think also to add HTN meds, if already prescribed. Combo more helpful?

Not clear about?: If you think you are having a heart attack, you should dial 911. Taking a baby aspirin and/or anti hypertensive medications is not sufficient in this situation. If you are talking about preventing a heart attack, you'll want to discuss your individual risk profile with your primary physician and then take appropriate measures after consulting with them. Hope this is helpful! Best wishes to you.

Dr. Creighton Wright
3,964 Doctors shared insights

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