Clinical Summary: Secondary stroke prevention
Stroke is the second leading cause of death worldwide (third in the United States) as well as the leading cause of long-term disability, with around 500 transient ischemic attacks and 2,400 new strokes per 1,000,000 inhabitants each year. One third of new stroke patients (700) die each year, and less than half of stroke survivors regain their independence. Prevention of stroke and transient ischemic attack includes both conventional approaches to vascular risk factor management (blood pressure and cholesterol reduction, smoking cessation, and antiplatelet therapy) and more specific interventions, such as carotid revascularization or anticoagulation for atrial fibrillation. In this clinical summary, Dr. Maurizio Paciaroni of the University of Perugia in Italy and Dr. Julien Bogousslavsky of the Swiss Medical Network discuss effective interventions for optimal secondary stroke prevention.
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