American College of Preventive Medicine (ACPM) is leading an important initiative, Aspirin Talks: Start a Life-Saving Conversation. Its goal is to improve appropriate aspirin use to prevent heart attacks and strokes.

Why aspirin? Because 45,000 lives could be saved every year if 90% of appropriate candidates took one low dose aspirin every day. The Partnership for Prevention ranked counseling about aspirin use to prevent cardiovascular events #1 among clinical preventive service priorities. The United States Preventive Services Task Force gave this intervention an A rating – its strongest recommendation.

Despite this, only about 1 in 3 high-risk patients are actually taking aspirin. While it is inexpensive, widely available and easy to take, many patients do not understand its relevance to them.

Change does not have to be that hard. In fact, an ACPM study published in the American Journal of Preventive Medicine determined that the factor most strongly associated with appropriate aspirin use is a conversation about aspirin between a patient and his/her healthcare professional.

Our work on this initiative also includes:

  • Developing an office-level intervention designed to help clinicians engage in a conversation about aspirin that can change the lives of their patients. It features a tool kit with physician, patient, and clinic aids to facilitate aspirin therapy counseling. In the coming months tool kit elements will be available on this site for comment. 

For more information about our Aspirin Initiative, including our clinical use toolkit, please contact Danielle Pere, Associate Executive Director of Programs and Operations at

For more information from our partners:

Partnership for Prevention

The Aspirin Project

Click these links for more information on heart health:



High Blood Pressure



Heart Risk Calculator

Stroke Risk Calculator


The Minnesota Heart Health Program’s Ask About Aspirin initiative is an excellent example of a state providing national leadership in disease prevention. The program, which encourages daily low-dose aspirin use to achieve improved cardiovascular health, is a public health campaign, a major clinical investigation, and a collaborative effort of Minnesota organizations, agencies, and institutions. Altarum Institute and the Council on Aspirin for Health and Prevention applaud the leaders in Minnesota who conceived and implemented Ask About Aspirin, and we developed this case study to educate stakeholders nationwide about aspirin and prevention.

Although very inexpensive, aspirin can prevent heart disease, stroke, and certain kinds of cancer. While not everyone should take aspirin, this effective drug is known to be under-used in people who would benefit from it. To this end, Altarum Institute and its Council on Aspirin urge state and local health leaders to educate consumers and providers about the appropriate use of aspirin in disease prevention.

Read the Ask About Aspirin Case Study

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