Aspirin therapy

Q I am 35 years old, under a lot of stress and don't always have the luxury of eating a balanced diet. I'm concerned because heart problems exist in my family, and I want to do what I can so that I won't become a victim. I've made the decision to exercise regularly and to make better food choices. In addition, would beginning some kind of aspirin therapy be a good idea to prevent heart problems?

T.H., Los Angeles

A Medical experts strongly suggest that you not begin any kind of aspirin therapy to prevent heart disease without the strict direction of a physician. If not done properly, it could create some serious and possibly fatal problems.

Studies indicate that aspirin can reduce the risk of heart attacks or ischemic strokes (strokes caused by a blood clot) in some people. Aspirin apparently lowers the clotting action of the blood's platelets. However, doctors say, the same properties that make aspirin effective in preventing blood from clotting may also cause some serious side effects, including stomach bleeding, kidney failure, bleeding in the brain and some other kind of strokes.

For most people, aspirin is safe when used as directed. If you are considering aspirin therapy, your doctor will consider such factors as medical and family history, your use of other medications, your allergies and sensitivities, and the possible side effects.

It's not likely that medical professionals would agree to begin aspirin therapy for those who are pregnant, have uncontrolled high blood pressure, have bleeding disorders, stomach ulcers, asthma, or liver and kidney disease.

Additionally, doctors say the risks associated with aspirin therapy may be greater than the benefits for people who are apparently healthy and show no symptoms of heart disease. Again, do not begin aspirin therapy without the direction of a physician.

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