New Aspirin Recommendations


Aspirin in DM
  • Diabetics:  2-4 X the risk for cardiovascular complications
  • Stroke risk doubles within 5 years of diagnosis
  • Bleeding risk increases in patients with diabetes on aspirin
  • Low-dose aspirin reasonable in adults with diabetes and no history of vascular disease, whose 10-year risk of CHD events is > 10% and no increased risk of bleeding
  • Males > 50 and Females > 60 with 1 additional risk factor
    • Smoking
    • Hypertension
    • Dyslipidemia
    • Albuminuria
    • Family history of premature death
      – Secondary prevention for diabetes and known cardiovascular disease
       
  • Clopidogrel (Plavix) 75 mg/d if allergic to aspirin