Tuesday, January 24, 2023

Does Acetaminophen Help With Heart Attacks

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How Much Should I Take

Does aspirin help prevent stroke and heart attacks? – Mayo Clinic Radio

Research says between 80 milligrams and 160 milligrams per day. This is less than half of the standard 325-milligram aspirin most people are prescribed.

Many studies show the lower dose works just as well as the higher dose. It also drops your risk of internal bleeding. A baby aspirin contains 81 milligrams. There are other lower-dose adult aspirins available.

Check with your doctor first to find out what dose is right for you.

Are There Other Benefits To Taking Daily Aspirin

Some studies suggest that daily aspirin therapy may prevent certain cancers.

In particular, the 2016 USPSTF recommendations reported that taking aspirin on a daily basis likely reduces risk for colorectal cancer, but only after 5 to 10 years of use.

Some

  • are at risk of hemorrhagic stroke
  • drink alcohol on a regular basis
  • need to undergo routine dental or medical procedures
  • are over the age of 70

If you have any of the above risk factors, its critical to talk with your doctor before taking aspirin.

Taking Acetaminophen Regularly Linked To High Blood Pressure

EDINBURGH, Scotland Acetaminophen is one of the most common medications worldwide for treating and managing both short-term and chronic aches and pains. Now, however, researchers from the University of Edinburgh say long-term use of these pain relievers may increase the risk of both heart attack and stroke among those with high blood pressure.

In light of these results, study authors recommend patients with a long-term prescription for acetaminophen do their best to lower their dosages and overall intake as much as possible while still relieving their pain. This is the first ever large randomized clinical trial to investigate this topic.

Acetaminophen, of course, is best known under brand names Tylenol, Mapap, and Panadol. However, in other parts of the world such as Europe and Australia, acetaminophen is known as paracetamol.

This is not about short-term use of paracetamol for headaches or fever, which is, of course, fine but it does indicate a newly discovered risk for people who take it regularly over the longer term, usually for chronic pain, says lead investigator Dr. Iain MacIntyre, a consultant in clinical pharmacology and nephrology at NHS Lothian, in a university release.

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The Lowest Dose For The Shortest Time

NSAID options similar to aspirin include salsalate or choline magnesium trisalicylate . They’re easier on the stomach than aspirin. But they don’t quell inflammation as well, and their cardiovascular effects haven’t been well studied.

Unfortunately, some people take painkillers every day because they want to prevent discomfort. “That’s a problem because it turns occasional use into chronic use,” says Dr. Antman. No matter what you take, he advises, “use the safest drug at the lowest dose for the shortest period of time to control your symptoms.”

Image: Inna Luzan/Getty Images

Ibuprofen Or Naproxen Vs Prexige

Mucinex And Heart Disease

The study by Farkouh and colleagues enrolled 18,325 arthritis patients. Nearly 17% of these patients were at high risk of heart attack and stroke.

The trial compared ibuprofen or naproxen to a new pain drug sold as Prexige in the U.K. and Canada.

Prexige is a member of the stomach-friendly family of pain drugs called Cox-2 inhibitors. Celebrex is the only member of this drug class sold in the U.S. Another Cox-2 drug, Vioxx, was taken off the market after people taking the drug had a suspiciously high number of heart attacks.

All of the high-heart-risk patients in the Farkouh study should have been taking low-dose aspirin. Sixty percent of them did. These patients should have had fewer heart attacks, strokes, and heart deaths than those who did not take aspirin.

But if the patients took aspirin and also took high-dose ibuprofen, they were nine times more likely to have a heart attack than were patients who took aspirin and Prexige. Patients who took ibuprofen without taking aspirin were no more likely to have a heart attack than those who took Prexige.

Farkouh and Nissen say there is strong evidence that ibuprofen blocks the blood-clot-preventing effects of aspirin. Both agree that the drugs do not interact if a person takes aspirin two hours before taking ibuprofen. But Farkouh says this approach will not work in the real world.

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Complications Of A Heart Attack

Complications of a heart attack can be serious and possibly life threatening.

These include:

  • arrhythmias these are abnormal heartbeats. 1 type is where the heart begins beating faster and faster, then stops beating
  • cardiogenic shock where the hearts muscles are severely damaged and can no longer contract properly to supply enough blood to maintain many body functions
  • heart rupture where the hearts muscles, walls or valves split apart

These complications can happen quickly after a heart attack and are a leading cause of death.

Many people die suddenly from a complication of a heart attack before reaching hospital or within the 1st month after a heart attack.

The outlook often depends on:

  • age serious complications are more likely as you get older
  • the severity of the heart attack how much of the hearts muscle has been damaged during the attack
  • how long it took before a person received treatment treatment for a heart attack should begin as soon as possible

Acetaminophen: For Fevers Pains And Stroke

Who would have thought that acetaminophen, most commonly sold as Tylenol — that common pain reliever and fever reducer we all have in our medicine chest — could be an overlooked ally? High doses of acetaminophen can lower body temperature and thereby limit the devastating effects of stroke, even in patients without fever, according to a report in the July issue of Stroke.

“Acetaminophen … could turn out to be a very promising treatment,” lead researcher Diederik W.J. Dippel, MD, MSc, tells WebMD. “Though its effects may be modest in degree, it is cheap, and has almost no harmful effects.”

Dippel’s team treated 75 stroke patients with either 500 or 1,000 mg of acetaminophen or with placebo six times a day for five days. Those treated with the higher dose of acetaminophen had a small initial drop in temperature, which may protect the brain. Results from an earlier study suggest that risk of death from stroke was twice as high for every one-degree rise in body temperature.

Doctors have recommended treating fever in stroke patients since 1994, explains Larry B. Goldstein, MD, director of the Duke Center for Cerebrovascular Disease in Durham, N.C. Animal studies also show that lower temperature protects the brain from stroke-related damage and swelling.

While acetaminophen may offer modest protection to many stroke victims at little risk and expense, desperate situations may call for desperate measures.

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Tylenol Is The Best Pain Reliever For Heart Patients

Tylenol is a good choice for those needing relief from the physical pain caused by osteoarthritis in the joints or from headache pain and who also have heart troubles such as high blood pressure, heart failure, heart attacks, chest pain due to narrowed coronary arteries , or stroke. Using acetaminophen is a much safer bet than most over-the-counter pain relievers like ibuprofen and naproxen , according to a recent report by Consumer Reports Best Buy Drugs. Thats because acetaminophen is unlike other common, over-the-counter pain medications, like ibuprofen and naproxen, which can aggravate high blood pressure, and in turn raise a person’s risk of having a heart attack.

Lets Get Back To Pulse

Daily Aspirin – Should You Take It? Cardiologist explains.

Thats the number of times the heart beats in a minute. What I want to focus on today is on the heart rate, and specifically, a fast heart rate. The 25 cent word for this is tachycardia , and it always gets my attention. Im happy to say that most of the time in pediatrics it is easily explained by reasons OTHER than the heart, but that doesnt diminish its importance. There are FIVE key reasons for the heart rate to be elevated in kids :

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Who Should Continue Taking Baby Aspirin

People who have had a heart attack or ischemic stroke absolutely need to stay on their aspirin, Simon said.

If you have a history of heart disease or stroke in your immediate family or have had your own history of cardiovascular disease or atherosclerotic disease, your doctor may recommend you continue taking a daily low-dose or baby aspirin.

This is also true for people who have had stents or coronary bypass surgery.

If you are at all confused, consult your doctor.

Aspirin Therapy, diet, exercise, heart attack and stroke

The risks might be greater than the benefits. But talk to your doctor before you make a change.

Many people take a low-dose aspirin every day to protect their heart. But new guidelines may be changing this common practice.

The US Preventive Service Task Force makes recommendations to doctors for patient care. Recently it warned that aspirin may have more health risks than benefits for some people.

Aspirin does help the heart by thinning the blood and preventing clots from developing. These clots can block the flow of blood to the heart and cause a heart attack. Or they can flow to the brain and cause a stroke.

But aspirin also increases the risk for harmful bleeding in the body. It can cause bleeding in the stomach and intestines and, in the brain, it can cause a type of stroke .

There is also a lot that you can do to keep your heart healthy:

Immediate First Aid Works To Minimize Blood Clotting Triggered By Plaque Ruptures

How should you take aspirin for a heart attack? You’ve always been healthy, but you seemed to run out of steam at your wife’s 60th birthday dinner last week. And now your chest feels heavy, as if you’re in a vise. You take some antacids, even though it’s 7:00 a.m. and you haven’t even had breakfast. But you get no relief, and the pain is spreading to your jaw and shoulder. You call your wife, who takes one look at you and rushes to the phone. After calling 911, she brings you an aspirin and some water.

Your wife got it right: You may be having a heart attack, and you need to get to the hospital fast. You also need to get some aspirin into your system quickly but should you chew the tablet or swallow it?

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Studies Point To Inflammation

Two decades ago, researchers discovered that high levels of inflammation were associated with an increased chance of having a heart attack or stroke. However, what they didnt know was whether anti-inflammatory treatments could prevent those events from occurring.

In 2008, the JUPITER study found that for older adults who did not have elevated blood cholesterol but who did have elevated blood levels of inflammatory markers, treatment with cholesterol-lowering statin drugs reduced the number of heart attacks and strokes. But it wasnt clear whether that was because statins reduced inflammation or because they further lowered bad cholesterol, since they do both.

However, a recent clinical trial called CANTOS studied an injectable antibody type of anti-inflammatory drug in people who had a prior heart attack and who also had elevated inflammatory markers despite statin treatment. This landmark study finally proved that targeting inflammation without changing cholesterol levels can have a significant impact. People treated with the novel anti-inflammatory treatment reduced their likelihood of subsequent heart attacks or strokes by 15 percent. It also decreased the need for major interventions such as angioplasty and bypass surgery by 30 percent, proving that addressing inflammation to prevent heart disease is essential. Additional studies are now looking at whether older, cheaper medications taken by mouth can have similar heart protection benefits.

Cough And Cold Medications

TYLENOL® Rapid Release Gels

Many of these medications contain NSAIDs to relieve pain. They also often have in them, which can make your heart disease worse in these ways:

Ask your doctor about other ways to ease symptoms of cold, flu, or sinus problems.

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Recovering From A Heart Attack

The time it takes to recover from a heart attack will depend on the amount of damage to your heart muscle.

Most people can return to work after having a heart attack. Some people are well enough to return to work after 2 weeks. Other people may take several months to recover. How quickly you can go back to work depends on your health, the state of your heart and the type of work you do.

The recovery process aims to:

  • reduce your risk of another heart attack through a combination of lifestyle changes , and medicines , which help to lower blood cholesterol levels
  • gradually restore your physical fitness so you can resume normal activities

Fact: Daily Aspirin Can Be Safest When Prescribed By A Medical Health Professional

Before deciding if daily aspirin use is right for you, your health professional will need to consider:

  • Your medical history and the history of your family members
  • Your use of other medicines, including prescription and over-the-counter
  • Your use of other products, such as dietary supplements, including vitamins and herbals
  • Your allergies or sensitivities, and anything that affects your ability to use the medicine
  • What you have to gain, or the benefits, from the use of the medicine
  • Other options and their risks and benefits
  • What side effects you may experience
  • What dose, and what directions for use are best for you
  • How to know when the medicine is working or not working for this use

Make sure to tell your health professional all the medicines and dietary supplements, including vitamins and herbals, that you use even if only occasionally.

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Why No Tylenol After Heart Attack

How does Tylenol raise heart attack risk? Well, in your blood, there are substances of varying levels which can make developing a clot more likely. Taking Tylenol increases these substances and thus raises the risk of a clot. If you get a clot, it can trigger a heart attack by blocking narrow arteries, stopping blood flow.

Theres another reason why Tylenol shouldnt be taken after a heart attack, and thats because it causes the body to retain more fluid and sodium by affecting the kidneys blood flow. This in turn raises blood pressure, making atrial fibrillation more likely.

That said, it should be noted that out of the NSAIDs with harmful effects, Tylenol is actually the best choice. You still need to be careful with it, but if you really need pain relief during or after a heart attack and your only options are Tylenol versus Advil, Motrin, Aleve, Naprosyn, etc, you should choose Tylenol.

What Is Resting Heart Rate

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Resting heart rate is your baseline heart rate. It is the number of beats per minute your heart makes when you are relaxed, sitting or lying down, and not doing physical activity.

Anormal resting heart rate for adults over 18 is60 to 100 beats per minute. People who regularly exercise vigorously may have a heart rate as low as 40 beats per minute.

To calculate your heart rate, first find your pulse by placing your index and middle finger either on your wrist under the base of your thumb, or on your neck on either side of your windpipe. You may need to move your fingers slightly until you feel the steady pumping.

Watching a clock with a minute reading, count the number of beats you feel in 15 seconds and multiply that by 4.

Resting heart rate = ____ beats per 15 seconds x 4.

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How Do You Lower High Blood Pressure Quickly

Here are 17 effective ways to lower your blood pressure levels:Increase activity and exercise more. Lose weight if youre overweight. Cut back on sugar and refined carbohydrates. Eat more potassium and less sodium. Eat less processed food. Stop smoking. Reduce excess stress. Try meditation or yoga.More items

A Closer Look At Acetaminophen

The Swiss team set out to fill a surprising gap in medical knowledge: the effect of acetaminophen on blood pressure among people with coronary artery disease. This includes folks with angina along with anyone who has had bypass surgery or angioplasty or who has been diagnosed with cholesterol-clogged arteries.

The researchers asked 33 men and women with one or more of these problems to take either 1,000 milligrams of acetaminophen or an identical placebo three times a day for two weeks. Then, after a two-week break, each volunteer took the other treatment. The amount of acetaminophen used in the study is a standard daily dose for pain.

When the participants took acetaminophen, average systolic blood pressure increased from 122.4 to 125.3, while the average diastolic pressure increased from 73.2 to 75.4. Blood pressure stayed steady when participants took the placebo. These increases arent large. But they indicate that acetaminophen, like NSAIDs, somehow affects the cardiovascular system.

A larger, longer trial would have given more reliable results. It would also have been unethical, since none of the participants were in pain. That means they couldnt reap any benefit from acetaminophen, but could only be harmed by it.

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Preventing A Heart Attack

There are 5 main steps you can take to reduce your risk of having a heart attack :

  • smokers should quit smoking
  • lose weight if youre overweight or obese
  • do regular exercise adults should do at least 150 minutes of moderate-intensity aerobic activity each week, unless advised otherwise by the doctor in charge of your care
  • eat a low-fat, high-fibre diet, including wholegrains and at least 5 portions of fruit and vegetables a day
  • moderate your alcohol consumption

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