TY - JOUR AU - Wu Y. AU - Biondi-Zoccai G. AU - Serrano C. Jr. AU - Frati G. AU - Agostoni P. AU - Abbate A. AB -

Despite momentous breakthroughs in unraveling the pathophysiology of many chronic conditions and developing novel therapeutic agents, everyday clinical practice is still fraught with inadequate or inappropriate use of treatments with proven benefits. Aspirin is a paradigmatic example, as it is used for the primary and secondary prevention of cardiovascular disease and appears to have a beneficial impact on cancer risk. Yet, underuse, non-compliance or cessation of aspirin are not uncommon, may have an important clinical impact, and are not aggressively prevented or managed. Increasing the awareness of the extent and impact of aspirin underuse, non-compliance or cessation, and intensifying efforts at preventing them are worthy goals likely to yield significant benefits on cardiovascular morbidity and mortality worldwide, and possibly also on cancer outcomes.

AD - Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy; VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, VA, USA. Electronic address: giuseppe.biondizoccai@uniroma1.it.
School of Public Health, Peking University, Beijing, PR China.
Department of Atherosclerosis, Heart Institute of the University of Sao Paulo, Sao Paulo, Brazil.
Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy; Department of AngioCardioNeurology, IRCCS NeuroMed, Pozzilli, Italy.
Division of Cardiology, Utrecht University Medical Center, Utrecht, The Netherlands.
VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, VA, USA. AN - 25577751 BT - International Journal of Cardiology DP - NLM ET - 2015/01/13 LA - eng LB - CHINA N1 - Biondi-Zoccai, Giuseppe
Wu, Yangfeng
Serrano, Carlos V Jr
Frati, Giacomo
Agostoni, Pierfrancesco
Abbate, Antonio
Research Support, Non-U.S. Gov't
Review
Netherlands
Int J Cardiol. 2015 Mar 1;182:148-54. doi: 10.1016/j.ijcard.2014.12.091. Epub 2014 Dec 27. N2 -

Despite momentous breakthroughs in unraveling the pathophysiology of many chronic conditions and developing novel therapeutic agents, everyday clinical practice is still fraught with inadequate or inappropriate use of treatments with proven benefits. Aspirin is a paradigmatic example, as it is used for the primary and secondary prevention of cardiovascular disease and appears to have a beneficial impact on cancer risk. Yet, underuse, non-compliance or cessation of aspirin are not uncommon, may have an important clinical impact, and are not aggressively prevented or managed. Increasing the awareness of the extent and impact of aspirin underuse, non-compliance or cessation, and intensifying efforts at preventing them are worthy goals likely to yield significant benefits on cardiovascular morbidity and mortality worldwide, and possibly also on cancer outcomes.

PY - 2015 SN - 1874-1754 (Electronic)
0167-5273 (Linking) SP - 148 EP - 54 T2 - International Journal of Cardiology TI - Aspirin underuse, non-compliance or cessation: definition, extent, impact and potential solutions in the primary and secondary prevention of cardiovascular disease VL - 182 ER -