Do you want to take aspirin for hypertension patients?

Many hypertension patients are using aspirin. Today, let’s introduce this drug.

Aspirin is very important in the treatment and control of cardiovascular diseases, but it does not mean that all hypertension patients should take aspirin.

What people need aspirin?

According to the 2010 < Guidelines for the Prevention and Treatment of Hypertension in China > >, it is recommended to use 100 mg aspirin every day for hypertension patients with the following conditions. For those who cannot tolerate aspirin, clopidogrel (75 mg/d) can be used instead:

    Have a history of angina pectoris and myocardial infarction; Having a history of cerebral thrombosis and transient ischemic attack; Has a history of occlusive peripheral atherosclerosis.

For hypertension patients without the above conditions, it is also recommended to take low-dose aspirin (75 ~ 100 mg per day) if there are the following conditions:

    There are target organ damages, such as left ventricular hypertrophy, carotid plaque, renal dysfunction, etc. Complicated with type 2 diabetes.

If the doctor evaluates that the risk of ischemic cardiovascular diseases within 10 years is more than 10%, low-dose aspirin can also be taken for prevention.

Specifically, hypertension is accompanied by 2 or more of the following risk factors:

    Smoking; Men over 50 years old or postmenopausal women; Abnormal blood sugar or blood lipid; Obesity (BMI > 24); Hyperhomocysteinemia; Family history of early onset of cardiovascular disease.

Precautions for Taking Aspirin

Perhaps everyone also knows that aspirin has certain bleeding risks, so patients who need to take aspirin for a long time have the following precautions:

1. When taking aspirin under the guidance of a doctor, the general doctor will only let the patient take aspirin after the blood pressure is relatively stable (< 150/90 mmHg). If the blood pressure is not well controlled, the risk of cerebral hemorrhage may be increased.

2. Because long-term application of aspirin may increase the risk of gastrointestinal hemorrhage, it is better to carry out digestive system examination before application.

For example, patients with Helicobacter pylori infection are recommended to eradicate Helicobacter pylori. If there are chronic gastrointestinal diseases, age > 65 years old or other drugs that may increase the risk of gastrointestinal hemorrhage are applied at the same time, corresponding preventive measures need to be taken, such as taking proton pump inhibitors, etc.

3. Aspirin is prohibited for patients with active gastric ulcer, severe liver disease and hemorrhagic disease.

I hope everyone can use aspirin rationally. If the doctor does not recommend it, don’t use it without authorization. If the doctor tells you that you need aspirin, don’t be afraid to use it because you are worried about the risk of bleeding.