Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Stroke - Tập 45 Số 7 - Trang 2160-2236 - 2014
Walter N. Kernan1, Bruce Ovbiagele1, Henry R. Black2, Dawn M. Bravata3, Marc I. Chimowitz1, Michael D. Ezekowitz1, Margaret C. Fang1, Marc Fisher4, Karen L. Furie1, Donald Heck1, S. Claiborne Johnston4, Scott E. Kasner5, Steven J. Kittner1, Pamela H. Mitchell1, Michael W. Rich6, DeJuran Richardson7, Lee H. Schwamm1, John A. Wilson1
1美国心脏协会卒中委员会
2临床心脏病学委员会
3General Internal Medicine & Geriatrics
4Neurology,
5心血管护理委员会
6DOM - Cardiology
7Neurology and Rehab Medicine

Tóm tắt

The aim of this updated guideline is to provide comprehensive and timely evidence-based recommendations on the prevention of future stroke among survivors of ischemic stroke or transient ischemic attack. The guideline is addressed to all clinicians who manage secondary prevention for these patients. Evidence-based recommendations are provided for control of risk factors, intervention for vascular obstruction, antithrombotic therapy for cardioembolism, and antiplatelet therapy for noncardioembolic stroke. Recommendations are also provided for the prevention of recurrent stroke in a variety of specific circumstances, including aortic arch atherosclerosis, arterial dissection, patent foramen ovale, hyperhomocysteinemia, hypercoagulable states, antiphospholipid antibody syndrome, sickle cell disease, cerebral venous sinus thrombosis, and pregnancy. Special sections address use of antithrombotic and anticoagulation therapy after an intracranial hemorrhage and implementation of guidelines.

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