Discontinuation of aspirin in patients with coronary syndrome threatens withdrawal syndrome, and the emergence of new seizures. In the course of the study, it was found that a week after the discontinuation of aspirin in patients previously suffering from stable angina developed its unstable version and myocardial infarction.
"Everyone knows the merits of aspirin in the treatment of patients with angina pectoris. However, the withdrawal syndrome of this drug in these patients has only begun to be studied, "doctors from the University Hospital Pasteur, Nice, France. According to them, no one can completely safely stop taking aspirin, and especially patients with coronary syndrome.
Scientists studied the data of 1236 patients with coronary syndrome in order to find out who was hospitalized due to discontinuation of aspirin. It turned out that 51 patients suffered aggravation of coronary syndrome in the form of unstable angina, stent thrombosis (a special device that provides restoration of blood flow through the vessels of the heart), or myocardial infarction, less than 1 week after the withdrawal of aspirin. Before admission, patients took aspirin for at least 3 months. All patients had cases of myocardial infarction or stable angina before, but there was no unstable angina prior to the withdrawal of aspirin. Among the reasons for stopping the intake of aspirin, leading: small operations, dental services, and simple non-compliance with prescriptions. In patients with coronary syndrome, aspirin treatment is standard, as this drug dilutes blood and reduces the risk of developing acute cardiac thrombosis.
When preparing for dental manipulations or surgical interventions, patients with coronary syndrome are advised to stop taking aspirin to avoid massive bleeding. I would like to see this data become something like a reminder for all doctors who are faced with such patients, reminding that the abolition of aspirin is undesirable and an alternative is needed.
The results of this study indicate not only how important it is to follow prescribed therapy, but also that the decision to stop taking aspirin can not be premature and frivolous, according to cardiologists.
medicus. en.