The American Heart Association identifies acetaminophen (TYLENOL®) as a pain relief option to try first* for patients with, or at high risk for, cardiovascular disease, as it is not known to increase risks of heart attack, heart failure, or stroke.
NSAIDs, like ibuprofen (e.g. Advil®, MOTRIN®) and naproxen sodium (e.g. Aleve®), may increase the risk of heart attack, heart failure, and stroke. The risk is higher if you use more than directed or for longer than directed. Stop use and ask your doctor if you have symptoms of heart problems or stroke, while taking OTC ibuprofen or naproxen sodium.
*When symptoms are not controlled by non-pharmacological approaches