Beneficiile aduse de administrarea zilnic\u0103 a aspirinei pentru prevenirea AVC \u015fi crizei cardiace \u00een cazul persoanelor care au o stare bun\u0103 de s\u0103n\u0103tate sunt ”contrabalansate de o augmentare a riscului hemoragic”, iar medicii ar trebui s\u0103 recomande acest medicament \u00een func\u0163ie de alte riscuri ale pacien\u0163ilor, conform concluziilor unei meta-analize realizate \u00een Marea Britanie.
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O mic\u0103 doz\u0103 zilnic\u0103 de aspirin\u0103 este, adesea, prescris\u0103 de medicii din Statele Unite persoanele cu v\u00e2rste de 50 \u015fi 60 de ani pentru prevenirea crizelor cardiace \u015fi a accidentelor vasculare cerebrale (AVC), chiar \u015fi \u00een cazul \u00een care acestea nu au un risc ridicat. \u00cen Europa, cardiologii fac acest lucru numai dup\u0103 apari\u0163ia unei probleme la nivelul inimii.
Aspirina fluidizeaz\u0103 s\u00e2ngele \u015fi previne formarea cheagurilor \u00een artere. \u00cens\u0103, un s\u00e2nge prea fluid poate conduce la hemoragii.<\/p>\n\n\n\n
Prin urmare, apare dilema: \u00een cazul c\u0103ror tipuri de pacien\u0163i beneficiul reducerii riscului cardiovascular dep\u0103\u015fe\u015fte riscul de hemoragie?<\/em> \u00eens\u0103, o analiz\u0103, publicat\u0103 \u00een Journal of the American Medical Association (JAMA) ofer\u0103 o imagine mai larg\u0103 pentru pacien\u0163ii care nu au avut \u00eenc\u0103 probleme cardiovasculare.<\/p>\n\n\n\n \u00cens\u0103, nu tran\u015feaz\u0103 cu adev\u0103rat controversa: pe de o parte, aspirina reduce riscul de criz\u0103 cardiac\u0103 \u015fi AVC \u00een cazul persoanelor f\u0103r\u0103 antecedente; pe de alt\u0103 parte, cre\u015fte riscul de hemoragie grav\u0103, \u00een special la nivelul intestinelor, \u00een propor\u0163ii modeste \u015fi echivalente.<\/p>\n\n\n\n De asemenea, aspirina nu are niciun impact asupra mortalit\u0103\u0163ii. ”Pentru persoanele cu o stare bun\u0103 de s\u0103n\u0103tate, beneficiile reduse ale aspirinei pentru prevenirea AVC \u015fi crizei cardiace sunt contrabalansate de o augmentare a riscului hemoragic”, conform unei declara\u0163ii f\u0103cut\u0103 de Jane Armitage de la Universitatea Oxford dup\u0103 publicarea studiului.<\/p>\n\n\n\n Concluzia: medicii ar trebui s\u0103 recomande aspirina de la caz la caz, \u00een func\u0163ie de alte riscuri ale pacien\u0163ilor, subliniaz\u0103 cardiologul Michael Gaziano \u00eentr-un comentariu.\u00a0De exemplu, stoparea fumatului sau sc\u0103derea nivelului de colesterol reprezint\u0103 alte modalit\u0103\u0163i prin care se poate \u00eencerca reducerea riscului cardiovascular.<\/em><\/p>\n\n\n\n Sursa:realitatea<\/p>\n","protected":false},"excerpt":{"rendered":" Beneficiile aduse de administrarea zilnic\u0103 a aspirinei pentru prevenirea AVC \u015fi crizei cardiace \u00een cazul persoanelor care au o stare<\/p>\n","protected":false},"author":1,"featured_media":48302,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","footnotes":"","jetpack_publicize_message":""},"categories":[80],"tags":[],"class_list":["post-48297","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sanatate"],"jetpack_featured_media_url":"https:\/\/i1.wp.com\/realitatearutiera.ro\/wp-content\/uploads\/2019\/03\/3.jpg?fit=349%2C262&ssl=1","jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p61naM-cyZ","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/posts\/48297","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=48297"}],"version-history":[{"count":1,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/posts\/48297\/revisions"}],"predecessor-version":[{"id":48303,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/posts\/48297\/revisions\/48303"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/media\/48302"}],"wp:attachment":[{"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Pentru persoanele care au suferit un AVC sau un infarct, balan\u0163a \u00eenclin\u0103 \u00een mod evident \u00een favoarea aspirinei, potrivit multor studii. Astfel de pacien\u0163i au un risc ridicat de a suferi un al doilea accident, iar aspirina ajut\u0103 la prevenirea acestuia.<\/p>\n\n\n\n