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Prevention of Stroke Recurrence

Published online by Cambridge University Press:  10 January 2005

Philip B. Gorelick
Philip B. Gorelick
Affiliation:
Department of Neurological Sciences, Rush Medical College, Chicago, Illinois, US
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Abstract

Stroke recurrence can be reduced substantially by intervention with the appropriate stroke preventive(s). Control of blood pressure, use of one of the antiplatelet agents aspirin, aspirin plus extended (modified)-release dipyridamole, or clopidogrel, administration of warfarin for patients with atrial fibrillation and high-risk profiles for stroke, and use of carotid endarterectomy in patients with high grades of symptomatic carotid artery stenosis are all proven therapies for prevention of stroke recurrence. Newer therapies to reduce the risk of infection and inflammation promise to further reduce the risk of first and recurrent stroke and are undergoing testing. In this article we review standard and more novel means to prevent stroke recurrence.

Keywords

Stroke recurrenceantiplatelet agentswarfarincarotid endarterectomy
Type
SECONDARY PREVENTION (CVD BRAIN AT RISK OF COGNITIVE DECLINE)
Information
International Psychogeriatrics , Volume 15 , Issue S1 , July 2003 , pp. 167 - 171
Copyright
© 2003 International Psychogeriatric Association

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