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Published Online First: 2 September 2008. doi:10.1136/hrt.2008.155887
Heart 2008;94:1364-1365
Copyright © 2008 BMJ Publishing Group Ltd & British Cardiovascular Society

EDITORIALS

Aspirin for all over 50 revisited

Peter Elwood1, Gareth Morgan2

1 Department of Primary Care and Public Health, Cardiff University, Cardiff, UK
2 Welsh Aspirin Group, Swansea, UK

Dr P Elwood, Department of Primary Care and Public Health, Cardiff University, Cardiff, UK; pelwood@doctors.org.uk

The first 150 words of the full text of this article appear below.

The idea that low-dose aspirin could be recommended for vascular protection on the grounds of age alone, irrespective of the levels of other vascular risk factors, seems to have been first suggested by the editor of the Archives of Internal Medicine, who, in 1991 wrote: "In my opinion, aspirin therapy is indicated in US men aged 50 years or older and in women after the menopause".1 Later, a group of British organisations recommended cardioprotection by daily aspirin for subjects aged over 50 years "whose hypertension, if present, is controlled".2 The US Preventive Services Task Force stated that "men older than 40 years [and] postmenopausal women... may wish to consider aspirin therapy".3 Most recently, a report from Wales,4 based on the individual risk factor data for subjects in a large population cohort, together with data for a cohort of women, gave evidence suggesting that aspirin prophylaxis is reasonable from about . . . [Full text of this article]


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