Progress in Stroke Prevention
Who Is at Risk for a Stroke?
Many of the risk factors for stroke can be lowered or treated. Others, such as increasing age, family history of stroke, African American race, or prior stroke cannot be.
Developments in Prevention
High Blood Pressure
The most common and most preventable risk factor for stroke is
Lowering cholesterol levels with diet, exercise, and medicine may help reduce the build-up of fatty arterial plaque that can trigger a stroke. The American Heart Association (AHA) recommends adults have a fasting cholesterol check at least once every five years. A desirable total cholesterol level is less than 200 mg/dl.. If you have cardiovascular disease or diabetes, your doctor will have you follow stricter cholesterol guidelines.
If you have
If you have diabetes, keeping your blood pressure low (eg, 130/85 mmHg) can reduce your risk of stroke. Blood pressure drugs called angiotensin-converting enzyme (ACE) inhibitors can be helpful for this purpose. Control of blood sugar is important, as well, in decreasing stroke risk.
Carotid Artery Surgery
If you have fatty arterial deposits in their neck, which can lead to stroke, you may benefit from
Today we are much better prepared than in the past to prevent strokes. If you are at increased risk for stroke, discuss your options with your doctor. If you do experience symptoms of a stroke, it is important to immediately undergo medical evaluation. For acute strokes, the time to diagnosis and treatment is extremely important. If you think you are having a stroke, call 911 right away.
American Stroke Association
National Stroke Association
Canadian Cardiovascular Society
Heart and Stroke Foundation of Canada
About stroke: impact of stroke. American Stroke Association website. Available at: http://126.96.36.199/presenter . Accessed September 22, 2003.
About stroke: what are the risk factors of stroke? American Stroke Association website. Available at: http://188.8.131.52/presenter . Accessed September 22, 2003.
Chalmer J, Todd A, Chapman N, et al. International society of hypertension (ISH): statement of blood pressure lowering and stroke prevention. J Hypertension. 2003;21:651-663.
Chatfield J. American Heart Association scientific statement on the primary prevention of ischemic stroke. American Family Physician. 2001;64:513-514.
Goldstein LB, Adams R, Alberts MJ, et al. Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: co-sponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity and Metabolism Council; and the Quality of Care and Outcomes research Interdisciplinary Working Group. Circulation. 2006;113:e873-923.
High blood pressure. EBSCO Health Library website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=15topicID=81. Updated September 2009. Accessed April 26, 2010.
Llinas FH, Aldrich E, Wityk R. Update on stroke prevention and treatment. Advanced Studies in Medicine . 2003;3:93-101.
Preventing stroke with evidence-based care. Patient Care . 2002; June:48-57.
Risk factors. National Stroke Association website. Available at: http://www.stroke.org/site/PageServer?pagename=PREGUIDE#1. Accessed April 26, 2010.
Straus SE, Majumdar SR, McAlister FA. New evidence for stroke prevention: Scientific review. JAMA. 2002;288:1388-1395.
Wood D. Screening for lipid profile. EBSCO Health Library website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=15topicID=81. Updated September 2009. Accessed April 26, 2010.
9/19/2006 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : Amarenco P, Bogousslavsky J, Callahan A, et al. High-dose atorvastatin after stroke or transient ischemic attack. N Engl J Med . 2006;355(6):549-559.
2/24/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : Grau AJ, Barth C, Geletneky B, et al. Association between recent sports activity, sports activity in young adulthood, and stroke. Stroke. 2009;40:426-431.
Last reviewed April 2010 by
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