JAMA ( IF 63.1 ) Pub Date : 2020-02-18 , DOI: 10.1001/jama.2019.18425 Andrew T. Peters 1 , R. Kannan Mutharasan 2
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Aspirin is sometimes used to help prevent people from developing cardiovascular disease.
For different reasons, millions of people take low-dose aspirin every day. For people who have had a heart attack, a stroke, placement of a coronary artery stent, or coronary artery bypass graft surgery, there is strong evidence that aspirin helps prevent another such event. This use is called secondary prevention: making an already diagnosed disease less likely to get worse.
Aspirin is also sometimes used for primary prevention: to prevent people from developing cardiovascular disease in the first place. However, recent studies and guidelines indicate that few people benefit from using aspirin in this way.
中文翻译：
阿司匹林预防心血管疾病
阿司匹林有时用于帮助预防人患心血管疾病。
由于不同的原因，每天有数百万人服用小剂量的阿司匹林。对于患有心脏病，中风，放置冠状动脉支架或进行冠状动脉搭桥手术的人，有力的证据表明阿司匹林有助于预防此类事件。这种用途被称为二级预防：使已经诊断出的疾病变得不太可能恶化。
阿司匹林有时也用于一级预防：首先是预防人们患上心血管疾病。但是，最近的研究和指南表明，很少有人从这种方式使用阿司匹林中受益。
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