![]() ![]() With very few exceptions, the combination of antiplatelets and anticoagulation is typically not indicated for secondary stroke prevention. Programs that use theoretical models of behavior change, proven techniques, and multidisciplinary support are needed.Īntithrombotic therapy, including antiplatelet or anticoagulant agents, is recommended for nearly all patients without contraindications. Patients with stroke are especially at risk for sedentary and prolonged sitting behaviors, and they should be encouraged to perform physical activity in a supervised and safe manner.Ĭhanging patient behaviors such as diet, exercise, and medication compliance requires more than just simple advice or a brochure from their physician. ![]() Low-salt and Mediterranean diets are recommended for stroke risk reduction. Lifestyle factors, including healthy diet and physical activity, are important for preventing a second stroke. Intensive medical management, often performed by multidisciplinary teams, is usually best, with goals of therapy tailored to the individual patient. Management of vascular risk factors remains extremely important in secondary stroke prevention, including (but not limited to) diabetes, smoking cessation, lipids, and especially hypertension. Recommendations are now grouped by etiologic subtype. Therefore, new in this guideline is a section describing recommendations for the diagnostic workup after ischemic stroke, to define ischemic stroke etiology (when possible), and to identify targets for treatment in order to reduce the risk of recurrent ischemic stroke. Specific recommendations for prevention strategies often depend on the ischemic stroke/transient ischemic attack subtype. TOP 10 Take-Home Messages for the Secondary Stroke Prevention Guideline
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