Primary stroke prevention needs overhaul

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Stroke: strategies for primary prevention.

Stroke is a leading cause of morbidity and mortality in North America. Primary prevention of stroke includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with hypertension prevents both hemorrhagic and ischemic stroke (relative risk reduction, 35 to 45 percent). Observational s...

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Advances in primary stroke prevention.

Because 75% of strokes are first-ever strokes,1 it is likely that effective prevention in persons with established risk factors who have not had a stroke (ie, primary prevention) can have as great or a greater impact on reducing the burden of the disease as effective prevention of recurrent stroke. The cost associated with inadequate primary prevention is at least as great as that resulting fro...

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Primary prevention of ischemic stroke.

To the Editor: In the American Heart Association’s Scientific Statement on the Primary Prevention of Ischemic Stroke,1 the committee did not mention an important predisposing cause of stroke, namely aortic arch atherosclerosis, except to say that it is a cause of stroke during heart surgery. This pathological condition is an independent risk factor for stroke,2 with a prevalence on the same ord...

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Primary and secondary prevention of stroke

Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension: principal results of the Hypertension Optimal Treatment (HOT) randomised trial. HOT Study Group – L. Hansson and others Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33) – UK Prosp...

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[Primary and secondary prevention of stroke].

The basis for primary and secondary prevention of stroke (and also TIA) are both a healthy lifestyle with a healthy diet, non smoking, weight reduction and regular exercise, and consistent treatment of arterial hypertension with a target of < 140 /90 mmHg. The choice of the antihypertensive is depending on concomitant diseases, more important than the class of antihypertensive is treatment to t...

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ژورنال

عنوان ژورنال: International Journal of Stroke

سال: 2016

ISSN: 1747-4930,1747-4949

DOI: 10.1177/1747493016669850