• Re: GREAT NEWS - 33% reduced Heart Attacks in older Americans !

    From _@21:1/5 to All on Thu Oct 21 15:05:08 2021
    Follow-up focused on recent updated advice
    about recommendations to take daily aspirin:

    On Friday, March 15, 2019 at 1:41:25 PM UTC-5, _ wrote:

    - - -

    Preface - The following, good news for all
    Americans, but for those of us having any
    of the Disparate High Glucose Conditions
    (DHGCs), our risk is decreasing but still
    is elevated compared to those who don't
    yet have any DHGC:

    - - -
    March 15 13,810,000,006 (2019 CE) https://consumer.healthday.com/cardiovascular-health-information-20/heart-attack-news-357/heart-attacks-fall-by-one-third-among-older-americans-743861.html
    - - -

    A groundbreaking new study holds heartening
    news for older Americans.

    Since the mid-1990s, the number of seniors
    who suffered a heart attack or died from one
    dropped dramatically -- evidence that cam-
    paigns to prevent heart attacks and improve
    patient care are paying off, Yale University
    researchers said.

    The study of more than 4 million Medicare
    patients found that hospitalizations for heart
    attacks

    o dropped 38 percent between 1995 and 2014.

    o ... deaths within 30 days of a heart attack
    reached an all-time low of 12 percent, down
    more than one-third since 1995.

    "This is really amazing progress." ... The
    study looked at Medicare patients because
    people 65 and older have the highest risk
    for heart attack, and account for as many
    as two-thirds of them, he said.

    The turnaround stems from major efforts
    to change people's lifestyles to reduce heart
    attacks, and also to improve care so more
    patients survive one ... .

    ... In-hospital care is also better now than
    it was in the 1990s ... . Patients who arrive
    at the hospital with a heart attack are now
    treated within minutes, using procedures to
    open blocked arteries, rather than the hours
    it used to take ... .

    And more patients are leaving the hospital
    with prescriptions for blood pressure drugs,
    aspirin and statins, which help prevent a
    repeat heart attack.

    - - -
    October 21 2021

    What’s Going On With the New Aspirin Recom-
    mendations? A look at how aspirin has been
    used over the years—and where the medical
    advice stands today. https://slate.com/technology/2021/10/aspirin-advice-heart-attack-bleeding.html - - -

    An aspirin a day was, for decades, believed to
    keep heart disease at bay, and older Americans
    out of the doctor’s office. But proposed recom-
    mendations from the U.S. Preventive Services
    Task Force moved away from this piece of com-
    mon wisdom last week.

    Preliminary advice from the panel suggests that
    Americans over the age of 60 who haven’t had a
    heart attack or stroke should not take daily aspirin.

    The panel also advised that high-risk patients ages
    40 to 59 who haven’t had a heart attack speak to a
    doctor before starting an aspirin regimen.

    The recommendations, which will be finalized in
    November at the earliest, follow a review of medi-
    cal research, revealing that the risk of internal bleed-
    ing from taking regular aspirin appears to outweigh
    the benefits in those groups.

    The directive against daily aspirin for many people
    might seem like a bit of a flip-flop—aspirin is good!
    Wait, now it’s bad! But delving into the history of
    aspirin’s use for heart attacks makes it clear that
    the shift has been a lot more gradual than that.

    Aspirin, in some form, has been used to treat pain
    for thousands of years. One of the earliest known
    instances of aspirin being recruited to prevent heart
    disease occurred during the 1950s, when Lawrence
    Craven, a California physician, noticed that children
    who chewed on aspirin-infused gum had bleeding
    complications.

    Craven figured that the drug’s blood thinning effects
    could be harnessed to ward off heart attacks.

    Craven asked all his healthy male patients between
    the ages of 45 and 65 to take a daily aspirin. Within
    the same decade, he published three research arti-
    cles determining that aspirin warded off heart attack
    and stroke.

    (It’s been reported that Craven asked patients who’d
    recovered from a heart attack to take an aspirin as
    well.) Though Craven and other physicians prescribed
    aspirin off-label as a preventative, larger, more robust
    clinical investigations of aspirin’s effect on the pri-
    mary prevention of cardiovascular disease didn’t begin ...

    ... until the 1970s and 1980s. (Primary prevention re-
    fers to medical intervention in patients at risk for a
    heart attack or stroke but who haven’t had one.) It
    was around that time that doctors also began giving
    aspirin as soon as they could after a heart attack.

    Also in the ’80s, the Food and Drug Administration is-
    sued two important authorizations for aspirin use:

    o In 1980, aspirin was approved for preventing future
    strokes in folks who’d already had one, and in 1985,
    the same endorsement was announced for people
    who’d had heart attacks.

    o During the early 1990s, the American College of
    Chest Physicians recommended that aspirin be used
    for preventing the first heart attack or stroke in people
    over the age of 50. And, in 1995, the Physicians’ Health
    Study, which began in 1982, released its findings that
    a low-dose aspirin did in fact decrease the risk of the
    first heart attack.

    Since then, the need for aspirin as a stroke and heart
    attack preventative has declined as medicine has got-
    ten better at stopping them from happening in the first
    place.

    “We’re now doing a much better job of controlling
    blood pressure, of controlling cholesterol—maybe
    even, you know, to a certain extent dealing with 7
    Disparate High Glucose Conditions (the predomin-
    ant one estimated to be the one present in ~95% of
    people with any DHGC, Cellosis) and fewer people
    are smoking.”

    With those risk factors supposedly being dealt with
    better, people who haven’t had a heart attack just don’t
    need aspirin.

    “In the early 2000s, when somebody came to me and
    said, ‘Well, I want to reduce my risk of having a heart
    attack or stroke,’ aspirin would be one of the first things
    to discuss.” ... “Now it is like the third or the fourth thing.”

    There’s been mixed evidence on aspirin for a while now,
    with some doctors arguing against recommending it
    for everyone in older age groups as early as 2012 ... .

    The doubt got a boost in 2018 when three large-scale
    clinical trials, including a total of more than 47,000 par-
    ticipants, solidified the idea that daily aspirin isn’t a per-
    fectly harmless healthy habit. ...

    ... “For primary prevention, aspirin may well have run
    its life course,” ... “We’re really understanding, if we
    take away the fuel that creates plaques in our arteries
    —that is what leads to heart attacks and strokes—then
    we don’t need the safety net of aspirin anymore.”


    ... but still, one person in the U.S. dies of car-
    diovascular disease every 38 seconds, and it con-
    tinues to be the greatest killer of Americans,"
    ... "[the reductions are] wonderful advances in
    the war against heart disease, but our war is
    still not finished."

    ... The report was published online March 15 in
    JAMA Network Open. To learn more about heart at-
    tack, visit the American Heart Association. https://www.heart.org/en/about-us/heart-attack-and-stroke-symptoms

    - - - end excerpts - - -

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    Pro-Humanist FREELOVER, Insulinitis (Islit)
    since age 5, got it in March 1961 https://prohuman.net/pix2/new_superior_clarifying_name_is_INSULINITIS.jpg

    C.ure I.nsulinitis A.ssociation
    ASAP! https://prohuman.net/cureinsulinitisassociation.htm

    Glucose Anomalies Research regarding
    Potential Cures / Improvements in Treatments
    The Sooner The Better! https://prohuman.net/glucoseanomaliesresearch.htm

    - - -

    The old confusing way which all-too-often
    involves folks using the diabetes / diabetic
    words without a clarifier:

    diabetes / diabetic without a clarifier,
    diabetes / diabetic guessing required https://prohuman.net/pix2/diabetesdiabeticguessinggame.jpg

    - - -

    Logic and reasoning behind ceasing using
    diabetes & diabetic & reactive hypoglycemia
    words and phrases, replacing all that with
    vastly superior names, ending diabetes &
    diabetic & reactive hypoglycemia confusion,
    misleading, & misunderstanding:

    Diabetes Bubble / Diabetes Bubble Burst
    Splendid! https://prohuman.net/diabetesbubblediabetesbubbleburst.htm

    - - -

    Disparate High Glucose Conditions,
    DHGCs, 7 disparate categories of
    unpreventability / nonreversibility
    of all-but-one of the specific types
    of DHGCs (thus far, research actively
    trying to change that):

    o 15 specific types of rapid-onset Insul-
    initis (Islit), unpreventable & nonrevers-
    ible (thus far), the overwhelming majority
    with Islit have Insulitis Islit (sometimes
    called type 1 diabetes, often confusingly
    called diabetes with no clarifier) https://prohuman.net/pix2/new_superior_clarifying_name_is_INSULINITIS.jpg

    14 specific types of Islit are not caused
    by Insulitis, present in a small minority
    of those with Islit.

    o 1 specific type of slow-onset Islit, Latent
    Autoimmune Islit, also unpreventable &
    nonreversible (thus far) (sometimes called
    latent autoimmune diabetes in adults, often
    confusingly called diabetes with no clarifier)

    o Preventable Cellosis is the only specific
    type of DHGC that is preventable & revers-
    ible (in many, sometimes it's called type 2
    diabetes, often confusingly called diabetes
    with no clarifier)

    Risk for Preventable Cellosis, Hypertension,
    & Cardiovascular Disease increases as one's
    weight increases but BMI risk increases at
    lower BMI levels in non-white individuals: https://prohuman.net/pix2/BMI-WaistCircumference-Cellosis&Hypertension&CardiovascularDisease-Risk.jpg
    https://medicalxpress.com/news/2021-05-bmi-offs-obesity-diabetes-non-white.html

    PreCellosis (often confusingly called pre-
    diabetes with no clarifier) is the oft-times
    preventable & reversible Cellosis precondi-
    tion that all-too-often the overwhelming ma-
    jority having it are unaware they have it

    o 20 specific types of Cellosis, unpreven-
    table & nonreversible (thus far, sometimes
    called type 2 diabetes, all-too-often con-
    fusingly called diabetes with no clarifier)

    o 1 specific type of DHGC only occurring
    in the late stage of impregnation in women,
    a type that's transient but that increases
    risk of later getting Cellosis, that ...

    ... condition called Gestational Cellosis
    (sometimes called gestational diabetes,
    sometimes confusingly called diabetes with
    no clarifier).

    o 11 specific types of Diminosis (new name
    created in 2010 for a monogenic condition
    age 6 months that sometimes is called
    maturity onset diabetes of the young, some-
    times confusingly called diabetes with no
    clarifier), unpreventable & non-reversible
    (thus far).

    o 12 specific types of Neonatal Diminosis
    (new name created in 2010 for a monogenic
    condition at age < or = 6 months that some-
    times is called neonatal diabetes, sometimes
    confusingly called diabetes with no ...

    ... clarifier), 8 types are permanent & unpre-
    ventable & nonreversible (thus far); 4 specific
    types are transient but can recur.

    o 25 specific types of Ohiglucons (new name
    created in 2010 for other diabetes mellitus,
    but often confusingly called diabetes with
    no clarifier).

    23 specific types are totally unpreventable.

    Hemochromatosis Ohiglucon, is only preventa-
    ble if Hemochromatosis is found and treated
    before it damages the pancreas.

    Immunosuppressants Ohiglucon, caused after
    a transplant with the required use of immun-
    osuppressants, 50% is temporary, but if it
    persists for over a year, most likely the condi-
    tion is permanent.

    If endogenous insulin production is near-totally
    to totally lost & does not recover after immuno-
    suppressants dosages reduced, it causes Im-
    munosuppressants Islit.

    - - -

    A mostly Non-Glucose Anomaly, Insipidus, it's
    also unpreventable & nonreversible (thus far):

    o 6 specific types of Insipidus (new name
    created in 2010 for diabetes insipidus, some-
    times confusingly called diabetes with no clar-
    ifier), 4 specific types don't include high glucose
    & are unpreventable & nonreversible (thus far),
    2 specific rare types do include high glucose &
    are unpreventable & nonreversible (thus far).

    - - -

    The following condition is apart from the
    diabetes confusion problem, but has confu-
    sion issues of its own.

    A Low Glucose Condition, Hut:

    o The 21 specific types of Hut (new name
    created in 2010 for Hypoglycemia Uncaused
    by Treatments for High Glucose, often con-
    fusingly called reactive hypoglycemia, con-
    fusing in that it does not occur as a reac-
    tion to treatment for High Glucose; one ...

    ... form sometimes called hyperinsulinism),
    some specific types are preventable & rever-
    sible, some aren't (thus far).

    - - -

    Stop Diabetes/Diabetic Confusion
    with New Superior Clarifying Terms https://www.change.org/stopdiabetesdiabeticconfusionwithNewSuperiorClarifyingTerms

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