A recent study from Oxford1 has shown that aspirin taken soon after a stroke or a mini stroke (a TIA) reduces the risk of a further stoke by about 60%, and the results suggest that the earlier the aspirin is taken the greater this reduction.

Research in Cardiff2,3,4 shows the same benefits for patients experiencing a heart attack - the earlier aspirin is taken the less the damage to the heart and the less the chance the attack will be fatal. This evidence led to the present practice by ambulance men or paramedics, who, if called to a patient with sudden severe chest pain, immediately give a tablet of aspirin.

All this clearly indicates the wisdom of people at risk of a heart attack or a stroke – and that includes all of us older than about 50 years – carrying one or two tablets of soluble aspirin at all times, so that a tablet can be chewed and swallowed immediately they, or someone with them, experience symptoms of either a heart attack or a stroke (the symptoms are listed below).

The carrying of aspirin has been greatly facilitated by the development of the ASPOD, a tiny plastic container for two tablets with a strap suitable for attachment to a key ring or handbag. For your own safety…. do google ‘ASPOD’ now!
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HEART ATTACK WARNING SIGNS

Chest Discomfort Most heart attacks cause pain or marked discomfort in the centre of the chest which lasts more than a few minutes, or goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.

Symptoms can also include pain or discomfort in one or both arms, in the back, the neck, the jaw and the stomach.

Shortness of breath
Other signs
There may include breaking out in a cold sweat, nausea or light-headedness
If any of these are "Yes,"
we advise you - take an aspirin tablet and call an ambulance

If you are allergic to aspirin then clearly you should not take a tablet

WARNING SIGNS OF A STROKE
The FAST test is a quick way to check symptoms suggestive of a stroke..

Face: Smile! (Does one side of their face droop?)
Arms: Raise both arms. (Is one higher than the other? Do they have a hard time holding one up?)
Speech: Repeat a short, simple sentence, like "Mary had a little lamb." (Do they slur their words? Is it hard to understand?)
Time: If any of these are "yes," we advise you - take an aspirin tablet and call an ambulance.

If you are allergic to aspirin then clearly you should not take a tablet


The symptoms listed above are only a guide. They are a good guide however and have been well tested in practice. A few other conditions can however mimic a stroke, or a heart attach, but only rarely. In almost all these other conditions, a tablet of aspirin is most unlikely to do any harm… but of course, it is your choice!

If you know you have a stomach or a duodenal ulcer, or if you suffer at present from indigestion, then aspirin may increase the stomach trouble, and the drug is therefore best avoided…again, it is your choice!

The best dose of aspirin for ‘immediate’ use, as indicated above, is not known with certainty. However, a normal aspirin tablet with around 300 mg of the drug is best, rather than just a single ‘junior’ aspirin which has only 75 or 81 mg.
The symptoms listed above are only a guide. They are a good guide however and have been well tested in practice. A few other conditions can however mimic a stroke, or a heart attach, but only rarely. In almost all these other conditions, a tablet of aspirin is most unlikely to do any harm… but of course, it is your choice!

If you know you have a stomach or a duodenal ulcer, or if you suffer at present from indigestion, then aspirin may increase the stomach trouble, and the drug is therefore best avoided…again, it is your choice!

The best dose of aspirin for ‘immediate’ use, as indicated above, is not known with certainty. However, a normal aspirin tablet with around 300 mg of the drug is best, rather than just a single ‘junior’ aspirin which has only 75 or 81 mg.

References

  1. Rothwell PM, Algra A, Chen Z, Diener H-C, Norrving B, Mehta Z. Effects of aspirin on risk and severity of early recurrent stroke after transient ischaemic attack and ischaemic stroke: time-course analysis of randomised trials. Published Online: 18 May 2016; Open Access DOI: http://dx.doi.org/10.1016/S0140-6736(16)30468-8
  2. Elwood PC, Woollard M, Beswick A, Morgan G ‘Time is muscle’: Aspirin taken during acute coronary thrombosis. Brit J Cardiol. 2010;17:185-9.
  3. Woollard, M., Elwood, P. C, Morgan, G. Life saving early and immediate aspirin: too little too late. Postgrad Med J;2008:84:337-8.
  4. Woollard M, Smith A, Elwood P. pre-hospital aspirin for suspected myocardial infarction and acute coronary syndromes: a headache for paramedics? Emergency Medicine Journal 2001;18:478-81.




By NOSCO Management Solutions Ltd www.nosco-systems.com (01443 400998)

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