I clipped this article from:
http://thinkmedica.org/node/7?PHPSESSID=34de83842690b951b338870d01d11e8c
because, assuming that it is true, it may prolong the life of stroke
victims who get and act on this information.
Best regards,
:) Marv
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Aspirin May Be Better Than Warfarin (Coumidin ) At Preventing Strokes
Once again, the impressive anti-inflammatory and blood-thinning properties
of aspirin have been shown to yield impressive results.
Warfarin (often called by its original brand name Coumidin) is often
prescribed to prevent ischemic strokes. Warfarin is a blood thinner; so is
aspirin. Warfarin was generally assumed to be better at preventing ischemic
strokes, but the two drugs had never been compared in a study.
The New England Journal of Medicine released a study today which compares
the efficacy of aspirin and warfarin at preventing ischemic stroke. 569
patients who'd already suffered strokes or transient ischemic attacks were
randomly assigned warfarin or aspirin and studied for an average of 1.8
years. Aspirin won by a mile:
Compared with subjects who took warfarin, those who took aspirin:
a.. suffered half as many strokes and heart attacks
b.. were half as likely to die of cardiovascular disease
A few other interesting notes:
a.. Looking at those subjects who died of reasons other than
cardiovascular disease, aspirin takers were less thanone-third as likely to
die during the study
b.. The aspirin dosage used was 1300mg per day, far higher than the 81mg
"baby aspirins" that many people take to prevent cardiovascular disease (but
still only 4 "adult" aspirin a day)
c.. The article's abstract ends with an unusually forthright conclusion:
"Warfarin was associated with significantly higher rates of adverse events
and provided no benefit over aspirin in this trial. Aspirin should be used
in preference to warfarin for patients with intracranial arterial stenosis."
By mediogenes at 2005-03-31 22:08 | Aspirin | Stroke | Warfarin | login or
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