Michelle Greiver, M.D., C.C.F.P.
Family Physician
240 Duncan Mill road, suite 705
Toronto, Ontario M3B 3S6
Phone (416) 222-3011
Fax (416) 221-3097
Email  mgreiver@rogers.com
 http://drgreiver.com


 
ASPIRIN FOR HEART DISEASE PROTECTION IN MEN

 

The US Preventive Services Task Force has recommended that family doctors discuss the role of aspirin (ASA) for heart disease protection with their patients who may be at risk. 
 
What does Aspirin do?

Aspirin prevents some heart attacks in men; it reduces the risk of a heart attack by about 32%.  The greater your risk, the more you will benefit. There are other things you can do to protect your heart as well, such as exercising, stopping smoking, and eating a low fat diet. 

What are the risks of Aspirin?

Aspirin increases the risk of a stroke due to a bleeding vessel in the brain.  Being on aspirin for 10 years may cause up to an extra stroke for every 1,000 men who take it (0.1% increase in risk)

Aspirin also increases the risk of bleeding ulcers in the stomach.  Men age 45 to 59 have an extra risk of 8 ulcers due ASA over 10 years, for every 1,000 patients (0.8% increase in risk). Men age 60 to 69 have an extra risk of 24 ulcers due ASA over 10 years, for every 1,000 patients (2.4% increase in risk). Men age 70 to 79 have an extra risk of 36 ulcers due ASA over 10 years, for every 1,000 patients (3.6% increase in risk). 

What dose should I take?

A dose of 81 mg daily (one baby aspirin) is enough to protect the heart. 

Who should consider this medication?

Men at higher risk of heart attacks should consider takin ASA.  The risk at which you should think of taking this medication to prevent a heart attack is:

 Age    10 year risk of heart attack 
 45 to 59  4% or more
 60 to 69  9% or more
 70 to 79  12% or more

Your risk over the next 10 years is:

To calculate your risk reduction with aspirin, multiply your risk by 0.32.
Your risk reduction with Aspirin over the next 10 years is:


 

 Michelle Greiver, M.D., C.C.F.P.

GuaxxH: To conduct a Faculty and Staff Needs Assessment to determine the role of DFCM in facilitating collaboration across FMTUs with respect to the utilization of an EMR to support quality, research and education. To conduct an external environmental scan across Canada and internationally, including a literature review to gain information around what other Family Medicine Departments, Faculties of Medicine and other organizations are doing to facilitate use of EMRs by faculty for the purposes of clinical care, education and research. To make recommendations around ongoing Working Group(s) and plans to move forward over the next 2 to 3 years. Participation Your participation will be on a voluntary capacity and the estimated time commitment is to three meetings of approximately two to three hours each with review of materials in between. Our anticipated meeting schedule is as follows: 1st meeting the end of September, 2009 *Note proposed times below 2nd meeting the end of November, 2009 3rd meeting the end of January, 2010 * We are proposing the following times for our inaugural meeting and are interested in your availability on the following days and times listed below. The three hour time slot that suits the majority of participant will be chosen. Monday Sept. 21, 2009 6 p.m. to 9 p.m. (light dinner to be served) Tuesday Sept. 28, 2009 1 p.m. to 4 p.m. or 2 p.m. to 5 p.m. or 6 p.m. to 9 p.m. (light dinner to be served) Please contact me with your interest and availability as a Task Force member by August 28, 2009 I can be reached through email  HYPERLINK "mailto:karen.tu@ices.on.ca" karen.tu@ices.on.ca or by phone, (416) 380-4055 x 3781 (before August 22). For questions about the Task Force, you can also contact Leslie Sorensen, who is Consultant to Strategic Plan implementation by email  HYPERLINK "http://lesliesorensen@sympatico.ca" \o "blocked::http://lesliesorensen@sympatico.ca/" \t "_blank" lesliesorensen@sympatico.ca or by phone 416-978-7576. If you have any questions please do not hesitate to contact me and I would be pleased to answer them for you. I look forward to working with you on this vital initiative for DFCM. Regards, Karen Tu MD, MSc, CCFP, FCFP Associate Professor/Funded Researcher-DFCM University of Toronto Family Physician-Toronto Western Hospital Scientist-ICES     PAGE  PAGE 1  $%&     r   z } ƿ|u|m|f_f_f_X_f hhl hhQ/! hh8)hhQ/!6 hhu hhM4hhM45\ hhghhp5\h hh" hhphv7 hhph`L hh6ahM4CJOJQJaJh]CJOJQJaJhpCJOJQJaJ*jhpCJOJQJUaJmHnHu!& X Y g ̿gd" d^gd  & Fdgd hd^hgdQ/! d^gdQ/!  & FdgdQ/!gdcJHgdp! 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