Differing Effects of Aspirin in Men and Women
Several studies presented at the American Heart
Association 2005 Scientific Sessions show that aspirin
has different effects on cardiovascular morbidity and mortality
in women and men. David L. Brown, MD, chief of the
Division of Cardiovascular Medicine at State University of
New York, Stony Brook and colleagues conducted
a sex-specific meta-analysis that
studied the effects of aspirin as primary
prevention of stroke. In women,
aspirin therapy was associated with
a 24% reduced risk of ischemic
stroke. In men, however, aspirin
therapy had no effect on ischemic
stroke, but it significantly increased the
risk of hemorrhagic stroke by 69%. Jeffrey S.
Berger, MD, a fellow in the Division of Cardiovascular
Diseases at Duke University Medical Center in Durham,
North Carolina, presented data from 8,928 postmenopausal
women with stable cardiovascular disease.
Approximately half were receiving aspirin therapy to
reduce risk of future cardiovascular disease events. Duke
researchers reported that “aspirin therapy was associated
with a significant reduction (25%) in all-cause mortality
among postmenopausal women with cardiovascular disease.” ( Medscape Medical News, 2005 November)