Aspirin, Burt Bob, Heart Disease discussed on Dr. Daliah

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Genesis communications network. For me, this show happen thinks of Daniela was working the dials and big thanks for tuning in. We really do. Appreciate it. Follow us on Twitter and on Facebook. Dr Dolly is show. So you don't have over the last few decades. We were told to take aspirin a day an aspirin a day keeps hardback way. Don't take the aspirin today. Until you take an aspirin. Don't take aspirin. To be out of baby aspirin. No, no, no. You don't need to be on a baby aspirin you need to be on aspirin. Do do. I need to be an aspirin or I don't know. Well now. We're add no aspirin. If you're healthy. Now, I'm still confused because my father was healthy until the day. He died of a heart attack. So the American college of cardiology. Has now reversed a decades old recommendation, even though we've been going back and forth for a while. Say that low dose aspirin, you know, the eighty one milligram baby aspirin or the seventy anything from seventy five to one hundred milligrams. I guess Europe. It comes into different. We have eighty one milligrams. Whereas Europe, I believe they have seventy five and one hundred and not your how we came up with eighty one. I mean, that's kind of odd number I need to look that up there. There's a science find how it was eighty one milligrams. We really don't have a lot of medicines out there that end with the number one. I mean, you could get one gram of some, but Eighty-one milligrams. I always found odd. Anyway. That one extra milligram. I guess if you took eighty milligrams not going to do what you need that extra little baby one milligram on top of that. So don't chew off a piece of your aspirin free. Take. So apparently, the American college cardiology said that your baby aspirin. Should not be taken for the sole purpose of preventing heart attacks, strokes and other cardiovascular problems now there's reverse recommendation came after an international clinical trial found that those taking low dose aspirin if they were healthy had no health benefit. This was a randomized blind study. So blind studies and double blind. Studies is he's like a double blind setting. Is where the person doesn't know what medication? They're getting and the person handing out the medication doesn't own vacation. They're getting it's a way to get rid of bias like for example, if it wasn't a blind study, and I'm sitting there, and I go, okay, Bob. You're the next test subject to die diet like a Bob. Here's your aspirin. Let us know how you're doing less know-how, works, whatever. I don't take my ass, man. I feel good. You didn't even take yet? Did that live, and I already feel better. Just because it's in my hand. You can't just studies like that. So what you do is. You get Bob comes up. Now. This is a single blind study. I know but bops getting savant of today. Here here's repel. Because if aspirin, and I can't tell you a secret. Let's either the aspirin or it's not it's like a dummy pill. You can have the dummy pill. You have the aspirin. And it looked the same thing. He's like, well, how do I know you don't know here at test subjects move on. Bob, man, you suck. And like, yeah. Sorry. That's a single blinds. And that's exactly what they say. That's exactly the conversation that happens during these studies. Okay. So the test subject doesn't know what they're getting to get the pill. Usually, it's a woman that handsome the pedal little plastic Cup and doesn't say anything, but I would talk. I would be like a. That today. The house. So the not supposed to talk they get their pill. They take it. That's a single blind study. But I know exactly what they're taking and that's not as good as a double blind study because I could have a tweak them. I, you know. And and I don't have a really good poker face. So fi li- you never to lie because I get goal is good. I'll googly double-blind his rival even know. So somebody behind the scenes gives me a bunch of pills and says you go past us out to Burt Bob and Dirk and Liu and whatever and sew Lulu comes up. And she's like, what are you giving me? I'm like, I don't know. She's like, I don't believe you. And like, I don't know they had to be these white pills. And then she's like, well, are you gonna kill me? How do I know what you're giving me? I go. I don't know. And then you get all nervous Towery this belts. That's double-blind double-blind is where the person passing out the pills has no idea. What's what you're getting? So they can't help bias you. So this was a study most of the people were seventy years older and about half were given aspirin and half were given a placebo. The study started back in two thousand ten and in two thousand seventeen. Most of these people seventy years or older, and they found that the aspirin did not help prevent heart disease, physical disability dementia or stroke, which is what has been touted all these years. Now somebody's texting right now. What about cancer? Okay. We're not going there yet. But you're right. You're right. There's been links that a daily aspirin may help prevent cancer. But we're not there yet. Now, hold on. So they need to be blind to that text because I've talked about this double blind study. The ACC and the American Heart Association now say that aspirin should rarely be used to prevent heart attacks and strokes that people without cardiovascular disease. So now. We are going to only recommended. If you have very well known cardiovascular disease, if you're healthy, and you're just taking an aspirin a day because you're over fifty. No, that's no longer recommended. Now aspirin is still don't get us wrong. Aspirin is still paramount to take if you are a cardiovascular patient that has known arteriosclerosis and thromboembolic events, you you will be given aspirin because it kind of prevents the clotting process. We've talked about how aspirin works. They say thins the blood, but it doesn't necessarily thin the blood it helps prevent cloudy, and so some people have asked okay, why has Britain? I mean, that's kind of a cheat. Medication? It's you know, why is it such a lifesaver because you know, if you're having a heart attack, and you walk into the ER I'm going to give you an aspirin to chill. He's gonna chew it up in front of me. You liked the doctrine having a heart attack? Look, I don't care. He's still on the clock Cutie aspirin. We make it to the house. Of course, you're completely out. And you know, we can't. But if you're you're like an question chest pain. Cuba's aspirin right now. Well, don't you say, how do I know? It's aspirin I go. This isn't obliged steady from Bob. And so. So when somebody has a heart attack, we've talked about this. It's not so much artery. That's supplying blood to the heart muscle starts to get clogged. You know? Eighty percent. Eighty five percent the ninety nine thousand one hundred seventy nine thousand nine percent. And then go to on. That's not how it always happens. What ends up happening is you could be a certain percentage clogged. And then something breaks off that plaque that is sticking to the walls. And it just breaks off breaks off because it's really crispy it can tear the lining the into mall lining. It's very intimate. We're now we're being very intimate now talking about linings, the intimacy the inside lining of the artery, and it may slice it a little bit when it flakes off. 'cause it's like, I said cheers. Plaques sticky, and crispy when you have a tear your body knows? I mean your body in St. it's amazing the communication system. It has you guys think the internet rocks. The body is still the best communication system out there. The body then recruits clotting factors to stop any bleeding. The problem is when these clotting factors come to seal. What happened? That little tear. It completely can block the Lumine the opening of the vessel then blunt cake, it's heart attack. That's. Massive heart attack like out of the blue. So we take an aspirin a day. To help lower clotting. Six. That's where that call came from. So I'm still a fan of aspirin. For those patients that are vulnerable. But what they're saying here is if you are healthy, and you don't have heart disease. You don't need the aspirin. Now that now brings the question. Well, how do we know for healthy? And that gets tricky. So they basically, you know, while we're waiting for the official recommendations on when to take the aspirin or not. The guidelines now recommending our behavioral changes to ensure healthy heart telling you not to smoke. They're telling you to maintain a healthy way to exercise at least one hundred fifty minutes, a week, eat diet full of fruits and vegetables and nuts, and whole grains, and fish, but low risk patients taking aspirin doesn't seem to really do much for you. In fact, it could be you can have bleeding GI bleeding because you're losing your clotting factor abilities that.

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