Victor Serebruany is at the Division of Neurology, Stroke Unit, Johns Hopkins University, 14110 Rover Mills Road, West Friendship, Maryland 21794, USA.Elena Golukhova is at the Cardiology Department, A.N. Bakoulev Scientific Center for Cardiovascular Surgery, 121552, Roublyevskoe Shosse 135, Moscow, Russia.
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The benefits of aspirin in protecting against thrombotic occlusions are well-established. However, aspirin use has also been linked to increased gastrointestinal and fatal bleeding in elderly patients. Safer preventive approaches should be considered in the elderly population, including reductions in aspirin dose, alternative daily regimens, and individualized treatment strategies.Refers to Li, L. et al. Age-specific risks, severity, time course, and outcome of bleeding on long-term antiplatelet treatment after vascular events: a population-based cohort study. Lancethttp://dx.doi.org/10.1016/S0140-6736(17)30770-5 (2017)