An aspirin a day keeps heart attacks at bay?

It is part of the daily routine for many, but is it actually doing you good? Aspirin prevents platelets (a type of blood cell) from forming into clots and it is so effective that a single tablet can increase the tendency to bleed easily for up to a week. That’s fine if all you want to do is thin the blood, but too much blood thinning can be quite dangerous as researchers from McGill University Health Centre in Montreal, Canada found when they examined 4,000 cases of patients suffering from gastrointestinal bleeding. They found that when the anticoagulant drugs warfarin and clopidogrel were taken with aspirin, gastrointestinal bleeding was four to six times higher than in subjects who didn’t combine these drugs. When these prescription blood thinners are prescribed, aspirin use is usually discouraged, but that doesn’t mean that each patient gets the message. Those who don’t may be experiencing much more harm than good.

In a previous study in 2004, UK researchers at the University of Hull produced a Warfarin/Aspirin Study in Heart Failure that divided patients into three groups: one group received 300 mg of aspirin daily, one received a standard daily dose of warfarin, and a third group received a placebo. All the subjects in the study had experienced either heart attack or stroke, prompted by thrombosis. After an average follow up period of more than two years, researchers found that neither the aspirin nor the warfarin therapies provided any greater protection against death, nonfatal stroke, or nonfatal heart attacks than the placebo. In fact, subjects who received aspirin therapy were nearly twice as likely to suffer a heart attack or stroke compared to those who took warfarin or placebo. Gastrointestinal problems were also elevated in the aspirin group, confirming the findings of McGill University.

So if you’re taking a daily aspirin, should you stop? NO. Not before talking to your doctor first. In a 2003 study that reviewed more than 1,200 cases of coronary episodes, researchers found more than 50 cases of heart attacks or other severe coronary problems less than one week after patients discontinued aspirin use.

Killer diet for rheumatoid arthritis?

Diet is important with rheumatoid arthritis

First on the hit list are tomatoes, maybe not killers exactly but if you suffer from arthritis they are certainly to be avoided. They are among a group of foods that trigger inflammation and general discomfort because they contain solanine, an alkaloid that is known for its toxicity. Other foods that are high in solanine are potatoes, aubergines and peppers, all of which you might know better as the nightshade plant family. The solanine is found in their leaves and roots and its purpose is to provide natural protection against insects for the plant. When we eat those foods the solanine is neutralized in the intestine, but because of their ability to trigger joint pain, some researchers believe that arthritis patients may not be able to adequately process the solanine and so it is still toxic in their system.

If you suffer from arthritis then you know that dietary solutions can be very helpful for some people, so that taking all the nightshade family out of the equation can be beneficial. Unfortunately this does not make any difference at all to other people with arthritis and that it is another factor entirely that causes the most problems. An excellent book by Patrick Holford called Say No to Arthritis  made this point many years ago, and pointed out that certain foods can increase the severity of rheumatoid arthritis symptoms and these include milk, pork, red meat, cod, eggs and cereal. This is now confirmed by research done in Norway and Sweden, which has shown that certain people may be predisposed to develop rheumatoid arthritis when their diet includes plenty of high-protein foods. If you do suffer from this painful condition then an investigation into what foods affect you might well be very beneficial, and the book I just mentioned is a good place to start with that.

ADHD drugs and risk of heart disease

The number of children on anti depressants and other behaviour altering drugs has quadrupled in the last ten years. In 2005 GP’s wrote more than 631,000 prescriptions for drugs such as Prozac to under 16′s as against 146,00 in the mid 1990′s. This disturbing trend sees drugs being the first line in the situation instead of other options such as counselling which might be more appropriate. In line with the fact that the use of Ritalin to control stress and aggressive behaviour in children has also increased tenfold in the same period, there is a timely study being undertaken in the USA to look at the potential heart risks from medicines used to treat attention deficit hyperactivity disorder (ADHD).

The U.S. Food and Drug Administration, in collaboration with the Agency for Healthcare Research and Quality, will examine clinical data of about 500,000 children and adults who have taken ADHD drugs, including Ritalin. The analysis is expected to take about two years and will include all drugs currently marketed for treating ADHD. There are millions of people taking these medicines worldwide and it is known they can increase heart rate and blood pressure, and this has raised concerns they may therefore raise the risk of heart attacks, strokes or other cardiovascular problems. There have been cases reported of heart problems in both adults and children who receive drug treatment for ADHD, but these patients have had known underlying risk factors. What is not known is whether or not these events are directly related to the drug treatment and the study hopes to get further information to protect from potential risks from heart disease.

Extra health benefits for men

Over 16 million adults in the UK currently are affected by hypertension and it is certainly vitally important to control high blood pressure to help keep your heart healthy. However, now it seems that paying attention to your blood pressure can also bring other benefits, particularly for men and some of the concerns they might have around ageing. A study conducted by researchers from Harvard and the Veterans Association (VA) in the USA examined the medical records of more than 350 older men who were part of the VA Normative Aging Study, which included a range of neuropsychological tests. This is a way of looking at brain function by summarizing the results of a series of organized mental tasks such as ability to learn and retain information, problem solving ability and intelligence for example. The key finding was that as the men aged, their overall neuropsychological function declined.

That is something you might expect, but what was startling was that that decline was significantly more pronounced among men who had high blood pressure but were taking no preventive measures or treatment to control it. In particular this group showed a reduced ability to handle language so that their verbal fluency and word recall was significantly worse when compared to men who also had high blood pressure but who had it under control. So if you want to keep on having lively arguments using exactly the right words then make sure you monitor your blood pressure levels!

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