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Secondary Prevention of Stroke


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    Overview and Recommendations

    • Background

    • Evaluation

    • Management

  • Related Summaries

  • Stroke Recurrence Risk

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      American Heart Association/American Stroke Association (AHA/ASA) guideline on risk factor reduction in prevention of stroke in patients with stroke or transient ischemic attack (TIA)

      • Physical activity

      • Lipid control

      • Blood pressure reduction

      • Nutrition

      • Obesity

      • Tobacco use

      • Alcohol consumption

      • Diabetes and glucose metabolism disorders

      • Metabolic syndrome

      • Sleep apnea

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        Antithrombotic therapies

        • Antiplatelet therapies

        • Anticoagulation therapies

        • Antiplatelet vs. anticoagulant therapies

        • Combination therapy

      • Surgical procedures

      • Reference

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    • Alcohol use

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      Physical activity

      • Recommendations for physical activity for secondary prevention of stroke

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      Antithrombotic therapy

      • Antiplatelet agents for secondary prevention of stroke

      • Recommendations for secondary prevention in other presumptive causes of TIA or stroke

      • Anticoagulants (for patients with noncardioembolic stroke or TIA)

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      Antihypertensive drugs

      • Antihypertensive treatment for stroke prevention

      • Beta-blockers

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      • Recommendations for statins

      • Efficacy of statins for secondary prevention

    • Antidiabetic drugs

    • Estrogen

    • Probucol

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    Surgery and Procedures

    • AHA/ASA recommendations for surgical procedures after recent transient ischemic attack (TIA) or stroke

    • Carotid artery stenosis repair

    • Angioplasty for intracranial artery stenosis

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      Patent foramen ovale (PFO) closure for secondary prevention of stroke

      • Guidance from professional organizations

      • Evidence

    • Other surgical procedures

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    Other Prevention Strategies

    • Integrated care model

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    Quality Improvement

    • Physician Quality Reporting System Quality Measures

    • National Institute for Health and Clinical Excellence Quality and Outcomes Framework Indicators

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    Guidelines and Resources

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      • United States guidelines

      • United Kingdom guidelines

      • Canadian guidelines

      • European guidelines

      • Asian guidelines

      • Mexican guidelines

    • Review articles

  • Patient Information

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    • General references used

    • Recommendation grading systems used

    • Synthesized Recommendation Grading System for DynaMed

    • DynaMed Editorial Process

    • Special acknowledgements

    • How to cite

Topic Editor
Heidi B. Schwarz MD, FAAN

Professor of Clinical Neurology, University of Rochester; New York, United States; Neurologist, Strong Memorial Hospital; New York, United States

Conflicts of Interest

Dr. Schwarz declares no relevant financial conflicts of interest.

Recommendations Editor
Zbys Fedorowicz MSc, DPH, BDS, LDSRCS

Director of Bahrain Branch of the United Kingdom Cochrane Center, The Cochrane Collaboration; Awali, Bahrain

Conflicts of Interest

Dr. Fedorowicz declares no relevant financial conflicts of interest.

Deputy Editor
Alexander Rae-Grant MD, FRCPC, FAAN

Deputy Editor Neurology, DynaMed Plus; Massachusetts, United States; Neurologist, Cleveland Clinic; Ohio, United States

Conflicts of Interest

Dr. Rae-Grant declares no relevant financial conflicts of interest.