Heart & vessels
Daily aspirin is not for everyone
Low-dose aspirin to prevent a first heart attack? The 2022 guidance changed.
- 1Had a heart attack, stroke or stent? Keep taking it (secondary prevention)
- 2No cardiovascular disease and aged 60+: USPSTF 2022 says do not start
- 3Aged 40–59 with 10-year risk ≥10%: individual decision, net benefit small
- 4Bleeding risk (gut, brain) rises with age and offsets the benefit
- 5CKD raises bleeding risk further — don’t start on your own
- 6Never stop prescribed aspirin without asking
“Prevention” means you don’t have the disease yet. If you do, it’s treatment — and the answer is different.
Caption (ready to paste)
Low-dose aspirin to prevent a first heart attack? The 2022 guidance changed. 1. Had a heart attack, stroke or stent? Keep taking it (secondary prevention) 2. No cardiovascular disease and aged 60+: USPSTF 2022 says do not start 3. Aged 40–59 with 10-year risk ≥10%: individual decision, net benefit small 4. Bleeding risk (gut, brain) rises with age and offsets the benefit 5. CKD raises bleeding risk further — don’t start on your own 6. Never stop prescribed aspirin without asking “Prevention” means you don’t have the disease yet. If you do, it’s treatment — and the answer is different. Sources: USPSTF 2022 — Aspirin for primary prevention of CVD Verified: 2026-10-17 Cards and scripts are general health education compiled from public clinical guidelines. They are not individual medical advice and do not replace assessment by your doctor, pharmacist or dietitian. Please keep the sources and this notice when sharing; this page holds the latest version. https://beyondckd.com/en/cards/aspirin-not-for-everyone
60-second short-video script
Shot list and voice-over. Vertical 9:16; put captions in the lower third. Every line maps to the sources on the left.
| sec | Screen | Voice-over |
|---|---|---|
| 0–5 | Small white pill in a box | An aspirin a day for your heart — still true? |
| 5–25 | Two figures: disease / no disease | If you’ve had a heart attack or stroke, keep taking it. Without cardiovascular disease, it’s a different story. |
| 25–45 | USPSTF 2022 card | The 2022 US Preventive Services Task Force: aged 60 or over without cardiovascular disease, do not start. Bleeding cancels the benefit. |
| 45–60 | Kidney icon | Bleeding risk is higher with kidney disease. Decide with your doctor, not alone. |
Sources (every point on the card maps to one)
Verified: 2026-10-17