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October 20, 2021

The United States Preventive Services Taskforce (USPSTF) is considering changes to national recommendations for the use of aspirin in the primary prevention of heart disease in patients without known heart disease. The USPSTF guidelines are changed every five years and will incorporate new research data since the last revision.

We recommend that you continue aspirin if you are already taking it, especially if you have a prior history of heart attack, stroke, stent placement, or arrhythmia. The proposed guidelines will not affect this recommendation. In addition, select patients who are at high risk of cardiac events and low risk of bleeding should continue to use aspirin for primary prevention of heart disease.

If you do not have any of these conditions, speak with your cardiologist to discuss whether it is best to stop taking aspirin once the national guidelines have been finalized.