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Summary of Symptoms

Slow heart rate
Aspirin may cause symptoms that are related to slow heart rate
Slowed heart rate
Aspirin may cause symptoms that are related to slowed heart rate

       
 
Slow heart rate (usually slower than 60 beats per minute in adults)
Aspirin may cause the following symptoms that are related to slow heart rate:
  • Changes in electrical activity of the heart. This symptom may occur with a high dose/overdose of aspirin-containing products
  • Extra heartbeats. This symptom may occur with a high dose/overdose of aspirin-containing products
  • Increased free T4
  • Premature ventricular contractions. This symptom may occur with a high dose/overdose of aspirin-containing products
  • Fast pulse/rapid heart rate (single case). This symptom may occur with a/an dose of 1500 milligram(s) a day or greater
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Note: Original Source for Medical Professionals
Cardiovascular side effects have included salicylate-induced variant angina, ventricular ectopy, conduction abnormalities, and hypotension, particularly during salicylate toxicity. In addition, at least one case of fluid retention simulating acute congestive heart failure has been reported during aspirin therapy. Antiplatelet therapy has also been associated with acute deterioration of intracerebral hemorrhage.

A 29-year-old female with a history of migraine developed chest pain, tachycardia and orthopnea following aspirin consumption at doses of 1500 mg per day for several days. After discontinuation of aspirin therapy, the patient's symptoms promptly resolved. The patient consented to a pharmacological challenge test which once again triggered the symptoms.

Metabolic side effects have included dehydration and hyperkalemia. Respiratory alkalosis and metabolic acidosis, particularly during salicylate toxicity, have been reported. A case of hypoglycemia has been reported in a patient on hemodialysis. Salicylates have also been reported to displace triiodothyronine (T3) and thyroxine (T4) from protein binding sites. The initial effect is an increase in serum free T4 concentrations.

REFERENCE +

  1. Individualizing aspirin therapy for prevention of cardiovascular events. Boissel JP JAMA 1998;280:1949-50.
  2. Aspirin and other platelet-active drugs: the relationship among dose, effectiveness, and side effects. Hirsh J, Dalen JE, Fuster V, Harker LB, Patrono C, Roth G Chest 1995;108 Suppl:s247-57.
  3. Low-dose aspirin interactions. Neafsey PJ Home Healthc Nurse 2004;22:54-5.
  4. Salicylate-induced variant angina. Al-Abbasi AH Am Heart J 1983;106:1450.
  5. Product Information. Bayer aspirin (aspirin). Anonymous Bayer, West Haven, CT. PROD;
  6. Cardiac conduction abnormalities and atrial arrhythmias associated with salicylate toxicity. Mukerji V, Alpert MA, Flaker GC, Beach CL, Weber RD Pharmacotherapy 1986;6:41-3.
 
       
 
       
 
Slowed heart rate
Aspirin may cause the following symptoms that are related to slowed heart rate:
  • Changes in electrical activity of the heart. This symptom may occur with a high dose/overdose of aspirin-containing products
  • Extra heartbeats. This symptom may occur with a high dose/overdose of aspirin-containing products
  • Increased free T4
  • Premature ventricular contractions. This symptom may occur with a high dose/overdose of aspirin-containing products
  • Fast pulse/rapid heart rate (single case). This symptom may occur with a/an dose of 1500 milligram(s) a day or greater
Hide SOURCE +

Note: Original Source for Medical Professionals
Cardiovascular side effects have included salicylate-induced variant angina, ventricular ectopy, conduction abnormalities, and hypotension, particularly during salicylate toxicity. In addition, at least one case of fluid retention simulating acute congestive heart failure has been reported during aspirin therapy. Antiplatelet therapy has also been associated with acute deterioration of intracerebral hemorrhage.

A 29-year-old female with a history of migraine developed chest pain, tachycardia and orthopnea following aspirin consumption at doses of 1500 mg per day for several days. After discontinuation of aspirin therapy, the patient's symptoms promptly resolved. The patient consented to a pharmacological challenge test which once again triggered the symptoms.

Metabolic side effects have included dehydration and hyperkalemia. Respiratory alkalosis and metabolic acidosis, particularly during salicylate toxicity, have been reported. A case of hypoglycemia has been reported in a patient on hemodialysis. Salicylates have also been reported to displace triiodothyronine (T3) and thyroxine (T4) from protein binding sites. The initial effect is an increase in serum free T4 concentrations.

REFERENCE +

  1. Individualizing aspirin therapy for prevention of cardiovascular events. Boissel JP JAMA 1998;280:1949-50.
  2. Aspirin and other platelet-active drugs: the relationship among dose, effectiveness, and side effects. Hirsh J, Dalen JE, Fuster V, Harker LB, Patrono C, Roth G Chest 1995;108 Suppl:s247-57.
  3. Low-dose aspirin interactions. Neafsey PJ Home Healthc Nurse 2004;22:54-5.
  4. Salicylate-induced variant angina. Al-Abbasi AH Am Heart J 1983;106:1450.
  5. Product Information. Bayer aspirin (aspirin). Anonymous Bayer, West Haven, CT. PROD;
  6. Cardiac conduction abnormalities and atrial arrhythmias associated with salicylate toxicity. Mukerji V, Alpert MA, Flaker GC, Beach CL, Weber RD Pharmacotherapy 1986;6:41-3.
 
       
 
 
NOTE: Just because a drug or combination of drugs can cause a symptom does not mean it is actually causing your symptom. Symptoms can be caused by medical conditions as well. Make sure that your physician is aware of any symptoms you are experiencing so he/she can work with you to determine the cause. Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: Please note that the information DoubleCheckMD.com provides is intended to help individuals to work with their medical professionals and is for educational purposes only. It does not constitute medical or healthcare advice and serves to supplement, not substitute for, the expertise and judgment of a healthcare professional. In all cases individuals should consult with a physician before taking any action based on DoubleCheckMD feedback including, but not limited to ceasing taking any drug, changing diet or commencing or discontinuing any course of treatment. The information provided by DoubleCheckMD.com is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that the use of a particular drug is safe, appropriate or effective.


 
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