United StatesThe Aspirin-Guide app from researchers at Brigham and Women’s Hospital, Harvard Medical School, helps clinicians decide which patients are candidates for the use of low-dose aspirin (75 to 100 mg/d) in the primary prevention of atherosclerotic cardiovascular disease (ASCVD) by balancing the ASCVD benefits against the risk of harm due to gastrointestinal (GI) or other bleeding. The app has several unique features, including: *calculates a 10-year cardiovascular disease risk score (heart disease and stroke for the patient *the ability to email a summary of the decision-making process to the patient Aspirin-Guide incorporates information about the patient’s risk factors to calculate a 10-yr ASCVD risk score (the ACC/AHA ASCVD score) and a bleeding risk score, to help clinicians implement clinical guidelines on the use of aspirin in primary prevention. Please note that research on aspirin in primary prevention among individuals younger than age 50 or 70 and older is limited. A web-based version Aspirin-Guide is available at www.aspiringuide.com and is accessible from any computer or smartphone.
Managing statin muscle pain
61 yo male physician initiated first ever statin with chol 221, Hdl 53, coronary calcium 1 left circ., 31 LAD and no symptoms with regular exercise history. Developed severe tendonopathy/myopathy rather quickly at 11 months. Now suffering 6-7 weeks after d/c therapy from persistent symptoms. More details of course, but where would this physician find contemporary management considerations?
United StatesPhysician
Tremendous!!! The bleeding risk is always my trouble spot!
United Stateshelpful
helpful
United StatesI like it
Presumably some very smart clinicians and statisticians have waded through an Impossibly large set of literature data to help me sit with my patient and give him/her the best possible advice...
United StatesAspirin Guide
Thank you for the aspirin guide. It does not calculate risk scores or make recommendations for patients that have chronic high RBCs, hemoglobin, and/or platelets; former smokers (which smoking contributes to atherosclerosis); or polycythemia vera. All of which can lead to clot formation, heart attack and/or stroke, especially in a young patient.
United StatesSomnath Baabu
Good
United Statesphysician
i feel this is a valuable tool in the primary care physician’s armamentarium to help decide if asa is neefed
United States
Updated algorithm and low-dose aspirin recommendation (75 to 100 mg/d).
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