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At what point should aspirin therapy for stable cardiovascular disease be discontinued in patients with a diagnosis of chronic cerebral microbleeds or possible Cerebral Amyloid Angiopathy?

2 Answers
Mednet Member
Mednet Member
Neurology · Harvard Medical School

I would continue low aspirin indefinitely.

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Mednet Member
Mednet Member
Neurology · University of Colorado, Climate & Health Dept

Obviously, aspirin increases the risk of bleeding so it should be stopped if possible and only be continued if there is a moderate-high risk of cardiac complications with stopping. The question of whether aspirin must be continued should be informed primarily by the patient's cardiologist.

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