By Larry B. Goldstein
Society-sanctioned directions are helpful instruments, yet having access to key info could be a daunting activity. This ebook illuminates a transparent route to winning program of the yank middle Association/American Stroke organization directions. equipped for speedy reference, this new quantity is helping practitioners increase sufferer care.
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Additional info for A Primer on Stroke Prevention and Treatment: An overview based on AHA/ASA Guidelines
Patients with known heart disease or high-risk hypertensive patients should be treated with lifestyle measures and a statin or with niacin versus gemfibrozil if they have low HDL. Therapy of all identified stroke risk factors, use of aspirin. Prophylactic endarterectomy recommended on selected patients with high-grade stenosis (>60%) to be performed by surgeons with <3% morbidity/ mortality. Unclear at present if carotid angioplasty and stenting should be considered in such patients. Children with SCD should be screened with TCD from age 2 and transfusion therapy should be considered for those with increased risk.
Hyperlipidemia Several studies have found an increased risk for ischemic stroke in patients with elevated total cholesterol. For example, the Asia Pacific Cohort Studies Collaboration found a 25% increase in ischemic stroke rates for every 1 mmol/L increase in total cholesterol . The data on the relationship between low-density lipoprotein (LDL) cholesterol and ischemic stroke are weaker, whereas several studies have shown increased prevalence of ischemic stroke in persons with low high-density lipoprotein Chapter 3 Primordial and Primary Prevention of Stroke (HDL) cholesterol (especially less than 30 mg/dL) .
Insufficient data are available to recommend antibiotic therapy for primary stroke prevention in patients with seropositivity for certain pathogenic organisms. Not recommended for primary stroke prevention in men. Can be useful for primary stroke prevention in women with sufficiently high cardiovascular risk. ACE-I, angiotensin-converting enzyme inhibitor; AFib, atrial fibrillation; ARB, angiotensin receptor blocker; BP, blood pressure; CDC, Centers for Disease Control; HDL, high-density lipoprotein; hs-CRP, high-sensitivity C-reactive protein; JNC 7, Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure; LV, left ventricle; MI, myocardial infarction; NIH, National Institutes of Health; SCD, sickle-cell disease; TCD, transcranial Doppler.
A Primer on Stroke Prevention and Treatment: An overview based on AHA/ASA Guidelines by Larry B. Goldstein