Chapter

Secondary prevention

Michael G. Hennerici, Rolf Kern, Kristina Szabo and Johannes Binder

in Stroke

Published on behalf of Oxford University Press

Published in print July 2012 | ISBN: 9780199582808
Published online July 2012 | e-ISBN: 9780191739651 | DOI: http://dx.doi.org/10.1093/med/9780199582808.003.014

Series: Oxford Neurology Library

Secondary prevention

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• Blood pressure lowering is recommended after the acute phase of stroke or TIA, including patients with normal blood pressure. • Statin therapy is recommended in all patients with focal cerebral ischaemia. • It is recommended that patients receive antiplatelet drugs (aspirin 50–100mg, clopidogrel 75mg, or aspirin 2 × 25mg plus dipyridamole 2 × 200 mg). • Oral anticoagulation is recommended after ischaemic stroke or TIA associated with atrial fibrillation. • Carotid endarterectomy is recommended for patients with 70–95% stenosis within few weeks after the index ischaemic event.

Chapter.  5748 words.  Illustrated.

Subjects: Neurology

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