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Primary and Secondary Prevention of Ischemic Stroke and Cerebral Hemorrhage
- Source :
- Journal of the American College of Cardiology. 75:1804-1818
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Stroke is a leading cause of permanent disability. Therefore, primary prevention of first stroke and secondary prevention of recurrent stroke are a high priority. Primary prevention of ischemic stroke includes lifestyle modification and diet, treatment of risk factors including hypertension, diabetes mellitus and lipid disorders, antiplatelet therapy for high vascular risk patients, and anticoagulation in atrial fibrillation. Secondary prevention of ischemic stroke includes additional carotid surgery or stenting in selected symptomatic patients, closure of patent foramen ovale after cryptogenic stroke, treatment of insulin resistance, and best medical treatment of intracranial stenosis. The most important preventive strategies in the primary and secondary prevention of cerebral hemorrhage include the treatment of hypertension, reduction in alcohol intake, and occlusion of the left atrial appendage in patients with atrial fibrillation and permanent contraindications for oral anticoagulation.
- Subjects :
- Secondary prevention
medicine.medical_specialty
business.industry
Atrial fibrillation
030204 cardiovascular system & hematology
medicine.disease
03 medical and health sciences
0302 clinical medicine
Insulin resistance
Internal medicine
Diabetes mellitus
Ischemic stroke
Occlusion
medicine
Patent foramen ovale
Cardiology
cardiovascular diseases
030212 general & internal medicine
Cardiology and Cardiovascular Medicine
business
Stroke
Subjects
Details
- ISSN :
- 07351097
- Volume :
- 75
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Cardiology
- Accession number :
- edsair.doi...........f307cfb9b8573dd1cdcc818e614d9c6f