Aspirin Usage Based on Evidence for the Prevention of Cardio-Cerebrovascular Disease.

Kim, Young Sang; Kim, Kyoung Kon; Hwang, In Cheol

doi:2009.30.4.249

Korean J Fam Med > Volume 30(4); 2009 > Article

Review

Korean Journal of Family Medicine 2009;30(4):249-260.
DOI: https://doi.org/10.4082/kjfm.2009.30.4.249 Published online April 20, 2009.

Aspirin Usage Based on Evidence for the Prevention of Cardio-Cerebrovascular Disease.

Young Sang Kim, Kyoung Kon Kim, In Cheol Hwang

¹Epidemic Intelligence Service Offi cer, Seoul Metropolitan Government, Seoul, Korea.
²Department of Family Medicine, Gachon University Gil Hospital, Incheon, Korea. spfe0211@hanmail.net

심뇌혈관질환 예방을 위한 아스피린의 근거중심 사용법

김영상, 김경곤, 황인철

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Abstract

Aspirin is well known for its central role in preventing cardio cerebrovascular diseases as an antiplatelet agent. However besides its favorable effects, one must also be fully aware of its side effects such as gastrointestinal complications or cerebral hemorrhage. Particularly when prescribing to Koreans, one must be highly cautious, considering the higher prevalence of helicobacter pylori infection and the contribution of hemorrhagic stroke as a major part of cerebral disease in Korean. Currently the guideline for secondary prevention of cardio cerebrovascular diseases is relatively well established, while the consensus for primary prevention is still controversial. The purpose of this paper would be to summarize the evidence of aspirin usage in preventing cardio cerebrovascular diseases, examine the additional factors one must consider, and help primary physician prescribing aspirin appropriately.

Key Words: Cardio-Cerebrovascular Diseases; Aspirin; Prevention