Low-Dose Aspirin for Heart Health

Q: What is the latest information about taking daily baby aspirin to help the heart? I stopped taking it when I got blotches on my arms from bleeding under the skin.

A: Aspirin inhibits blood clotting by reducing the “stickiness” of platelets. This helps lower the incidence  of stroke and heart attacks, but may increase the risk of bleeding. In general, people at low risk of having a heart attack or stroke shouldn’t take daily aspirin because the chance of bleeding outweighs any potential benefit. In contrast, low-dose aspirin therapy is beneficial for those who carry an increased risk of heart attack or stroke, including people with the irregular heart rhythm called atrial fibrillation.

Heartbeat

Cardiac Test Basics

Please explain the difference between an electrocardiogram and an echocardiogram. What exactly do these tests tell doctors about the heart?

Give the Gift of Life

My brother-in-law just turned 50 and needs a new heart. We sometimes hear that wealthy people get donor organs quicker than others. Is this true? How long is the usual wait for a new heart?

Heart Defect Often Causes No Symptoms

I had a stroke in 2003, and a diagnostic test showed a “hole” in my heart with no right-to-left shunt. The shunt didn’t show up on a different kind of test in 2009, either. I came through the stroke fine because I went to the hospital right away and have been on warfarin ever since. My question is: If there’s no shunt, is the hole present?

Surgery Corrects Heart Rhythm

Q: How does the Maze treatment for atrial fibrillation work, and what does it involve? A: The Maze procedure is open heart surgery to eliminate rapid heartbeats. It involves making a series of incisions in the top portion of the heart, the atria. In experienced hands, the procedure is successful in more than 90 percent [...]