期刊论文详细信息
American Journal of Preventive Cardiology
Implications of the heterogeneity between guideline recommendations for the use of low dose aspirin in primary prevention of cardiovascular disease
Sang-Hoon Na1  Michael Blaha2  Xiao-Ying Li3  Zhongwei Shi4  Li Li5  Francesca Santilli6 
[1] Pharmacovigilance, Pharmaceuticals, Bayer AG, Berlin, Germany;Department of Cardiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Department of Geriatric Cardiology, Chinese PLA General Hospital, Beijing, China;Department of Medicine and Aging and Center for Advanced Studies and Technology, D'Annunzio University of Chieti–Pescara, Chieti, Italy;;Medical Affairs &Seoul National University Hospital, Seoul, Republic of Korea;
关键词: Cardiovascular disease;    Primary prevention guidelines;    Low dose aspirin;    Antiplatelet;   
DOI  :  
来源: DOAJ
【 摘 要 】

The most recent primary cardiovascular disease (CVD) prevention clinical guidelines used in Europe, Italy, the USA, China, and South Korea differ in aspects of their approach to CVD risk assessment and reduction. Low dose aspirin use is recommended in certain high-risk patients by most but not all the countries. Assessment of traditional risk factors and which prediction models are commonly used differ between countries. The assessments and tools may not, however, identify all patients at high risk but without manifest CVD. The use of coronary artery calcium (CAC) score to guide decisions regarding primary prevention aspirin therapy is recommended only by the US primary prevention guidelines and the 2021 European Society of Cardiology guidelines. A more consistent and comprehensive global approach to CVD risk estimation in individual patients could help to personalize primary CVD prevention. Wider detection of subclinical atherosclerosis, together with structured assessment and effective mitigation of bleeding risk, may appropriately target patients likely to gain net benefit from low dose aspirin therapy.

【 授权许可】

Unknown   

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