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Transient ischemic attack primary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

Primary prevention of transient ischemic stroke is mainly aimed at treatment and modifcation of risk factors which are directly associated with increased occurrence of ischemic stroke.[1][2]

Primary Prevention

Primary prevention of transient ischemic stroke is mainly aimed at treatment and modifcation of risk factors which are directly associated with increased occurrence of ischemic stroke. Effective measures for primary prevention of stroke include:[1][2][3][4]

  • Genetic testing and treatment for diseases with increased risk of ischemic stroke such as Fabry’s disease
  • Life style modifications such as increased physical activity in obese or over weight patients to maintain healthy weight
  • Treatment of hypertension, diabetes mellitus and hyperlipidemia[5]
  • Treatment of atrial fibrillation and anticoagulant prophylaxis
  • Procedures such as carotid endarterectomy or carotid angioplasty can be used to remove significant atherosclerotic narrowing (stenosis) of the carotid artery
  • Smoking cessation and decreased alcohal intake

For AHA/ASA guidelines for primary prevention of transient ischemic stroke, click here.

References

  1. ↑ 1.0 1.1 Goldstein LB, Adams R, Alberts MJ, Appel LJ, Brass LM, Bushnell CD; et al. (2006). “Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: cosponsored 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. 113 (24): e873–923. doi:10.1161/01.STR.0000223048.70103.F1. PMID 16785347.
  2. ↑ 2.0 2.1 Awada A (2011). “[Primary and secondary prevention of ischemic stroke]”. J Med Liban. 59 (4): 213–9. PMID 22746010.
  3. ↑ Chiuve SE, Rexrode KM, Spiegelman D, Logroscino G, Manson JE, Rimm EB (2008). “Primary prevention of stroke by healthy lifestyle”. Circulation. 118 (9): 947–54. doi:10.1161/CIRCULATIONAHA.108.781062. PMC 2730914. PMID 18697819.
  4. ↑ Goldstein LB, Adams R, Becker K, Furberg CD, Gorelick PB, Hademenos G; et al. (2001). “Primary prevention of ischemic stroke: A statement for healthcare professionals from the Stroke Council of the American Heart Association”. Stroke. 32 (1): 280–99. PMID 11136952.
  5. ↑ American Heart Association. (2007). Stroke Risk Factors Americanheart.org. Retrieved on January 22, 2007.

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