The operative phrase in this study is “ primary prevention.”
The advice to not use aspirin was intended to apply to people taking it only to prevent a first event. The evidence weakly suggested that the risk of gastrointestinal bleeding outweighed the reduction of a first heart attack or stroke.
This article does not make it clear that in patients who have had a heart attack or stroke/TIA, that the benefit of aspirin greatly exceeds the risk. DO NOT STOP aspirin, regardless of age, if you have known cardiovascular disease!
I had a mild heart attack and a quad by-pass in 2020..........