New research shows that nearly one-third of adults 60 and older are still using aspirin for primary prevention of cardiovascular disease, despite recommendations against it. The risk of bleeding outweighs the benefits of preventing a first heart attack or stroke in older adults. Recent clinical trials have highlighted the harms of aspirin, leading to updated guidelines advising against routine aspirin use for primary prevention in adults 60 and older. Statin use has decreased since 2018, but a significant number of older adults still use aspirin inappropriately. Physician-patient conversations are crucial for determining the best approach to preventing cardiovascular disease.
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