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Coronary Artery Disease and Aspirin Intolerance: Background and Insights on Current Management
Ravi A Thakker1, Leonardo Salazar2, Deaa Abu Jazar2
1Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, 77555, USA. ravi.a.thakker@gmail.com.
Insights
Aspirin is crucial for cardiovascular disease prevention, but intolerance poses challenges. This review details aspirin
Area of Science:
- Cardiology
- Pharmacology
- Immunology
Background:
- Aspirin is a cornerstone medication for ischemic heart disease and secondary prevention.
- Aspirin intolerance presents significant challenges in managing patients with cardiovascular disease.
Purpose of the Study:
- To review the pharmacology of aspirin.
- To explore mechanisms of aspirin intolerance.
- To outline management strategies for aspirin intolerance in cardiovascular disease.
Main Methods:
- Extensive literature review.
- Multidisciplinary approach involving internists, allergists/immunologists, and cardiologists.
Main Results:
- Comprehensive overview of aspirin's role in cardiovascular disease.
- Detailed examination of aspirin intolerance mechanisms and clinical implications.
- Strategies for managing aspirin intolerance in acute coronary syndrome and stable coronary artery disease.
Conclusions:
- Effective management of aspirin intolerance is vital for cardiovascular disease patients.
- A multidisciplinary approach ensures optimal patient care and outcomes.
Abstract:
Aspirin is one of the most widely used medications across the global healthcare system and is the foundation in treating ischemic heart disease, as well as secondary prevention for ischemic and valvular heart disease. Challenges arise in treating patients with cardiovascular disease who have concomitant aspirin intolerance. Through an extensive review of the literature, we provide a comprehensive background on the pharmacology of aspirin, the mechanisms behind aspirin intolerance, the importance of aspirin in cardiovascular disease, and the management of aspirin intolerance in both acute coronary syndrome and stable coronary artery disease. Our review includes a multidisciplinary approach from the internist, allergist/immunologist, and cardiologist when evaluating this important patient population.
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