Stroke Prevention: Managing Modifiable Risk Factors

Prevention plays a crucial role in counteracting morbidity and mortality related to ischemic stroke. It has been estimated that 50% of stroke are preventable through control of modifiable risk factors and lifestyle changes. Antihypertensive treatment is recommended for both prevention of recurrent s...

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Main Authors: Silvia Di Legge, Giacomo Koch, Marina Diomedi, Paolo Stanzione, Fabrizio Sallustio
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.1155/2012/391538
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author Silvia Di Legge
Giacomo Koch
Marina Diomedi
Paolo Stanzione
Fabrizio Sallustio
author_facet Silvia Di Legge
Giacomo Koch
Marina Diomedi
Paolo Stanzione
Fabrizio Sallustio
author_sort Silvia Di Legge
collection DOAJ
description Prevention plays a crucial role in counteracting morbidity and mortality related to ischemic stroke. It has been estimated that 50% of stroke are preventable through control of modifiable risk factors and lifestyle changes. Antihypertensive treatment is recommended for both prevention of recurrent stroke and other vascular events. The use of antiplatelets and statins has been shown to reduce the risk of recurrent stroke and other vascular events. Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are indicated in stroke prevention because they also promote vascular health. Effective secondary-prevention strategies for selected patients include carotid revascularization for high-grade carotid stenosis and vitamin K antagonist treatment for atrial fibrillation. The results of recent clinical trials investigating new anticoagulants (factor Xa inhibitors and direct thrombin inhibitors) clearly indicate alternative strategies in stroke prevention for patients with atrial fibrillation. This paper describes the current landscape and developments in stroke prevention with special reference to medical treatment in secondary prevention of ischemic stroke.
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series Stroke Research and Treatment
spelling doaj-art-0806f5b9940d4b62b8810993b7c96f5e2025-02-03T01:06:15ZengWileyStroke Research and Treatment2090-81052042-00562012-01-01201210.1155/2012/391538391538Stroke Prevention: Managing Modifiable Risk FactorsSilvia Di Legge0Giacomo Koch1Marina Diomedi2Paolo Stanzione3Fabrizio Sallustio4Stroke Unit, Department of Neuroscience, University of Tor Vergata, Viale Oxford 81, 00133 Rome, ItalyStroke Unit, Department of Neuroscience, University of Tor Vergata, Viale Oxford 81, 00133 Rome, ItalyStroke Unit, Department of Neuroscience, University of Tor Vergata, Viale Oxford 81, 00133 Rome, ItalyStroke Unit, Department of Neuroscience, University of Tor Vergata, Viale Oxford 81, 00133 Rome, ItalyStroke Unit, Department of Neuroscience, University of Tor Vergata, Viale Oxford 81, 00133 Rome, ItalyPrevention plays a crucial role in counteracting morbidity and mortality related to ischemic stroke. It has been estimated that 50% of stroke are preventable through control of modifiable risk factors and lifestyle changes. Antihypertensive treatment is recommended for both prevention of recurrent stroke and other vascular events. The use of antiplatelets and statins has been shown to reduce the risk of recurrent stroke and other vascular events. Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are indicated in stroke prevention because they also promote vascular health. Effective secondary-prevention strategies for selected patients include carotid revascularization for high-grade carotid stenosis and vitamin K antagonist treatment for atrial fibrillation. The results of recent clinical trials investigating new anticoagulants (factor Xa inhibitors and direct thrombin inhibitors) clearly indicate alternative strategies in stroke prevention for patients with atrial fibrillation. This paper describes the current landscape and developments in stroke prevention with special reference to medical treatment in secondary prevention of ischemic stroke.http://dx.doi.org/10.1155/2012/391538
spellingShingle Silvia Di Legge
Giacomo Koch
Marina Diomedi
Paolo Stanzione
Fabrizio Sallustio
Stroke Prevention: Managing Modifiable Risk Factors
Stroke Research and Treatment
title Stroke Prevention: Managing Modifiable Risk Factors
title_full Stroke Prevention: Managing Modifiable Risk Factors
title_fullStr Stroke Prevention: Managing Modifiable Risk Factors
title_full_unstemmed Stroke Prevention: Managing Modifiable Risk Factors
title_short Stroke Prevention: Managing Modifiable Risk Factors
title_sort stroke prevention managing modifiable risk factors
url http://dx.doi.org/10.1155/2012/391538
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