Post-Ischemic Stroke Cardiovascular Risk Prevention and Management

被引:0
|
作者
Guo, Yilei [1 ]
Pan, Danping [1 ]
Wan, Haitong [2 ,3 ,4 ]
Yang, Jiehong [1 ]
机构
[1] Zhejiang Chinese Med Univ, Coll Basic Med Sci, Hangzhou 310053, Peoples R China
[2] Zhejiang Chinese Med Univ, Affiliated Hosp 1, Hangzhou 310003, Peoples R China
[3] Zhejiang Chinese Med Univ, Inst Cardio Cerebrovasc Dis, Hangzhou 310053, Peoples R China
[4] Key Lab TCM Encephalopathy Zhejiang Prov, Hangzhou 310053, Peoples R China
基金
国家重点研发计划; 中国国家自然科学基金;
关键词
ischemic stroke; cardiovascular disease; adverse cardiovascular events; risk management; TRANSIENT ISCHEMIC ATTACK; ATRIAL-FIBRILLATION; SECONDARY PREVENTION; TASK-FORCE; MYOCARDIAL-INFARCTION; DISEASE PREVENTION; TOBACCO CESSATION; CLINICAL-PRACTICE; AMERICAN-COLLEGE; HEART-DISEASE;
D O I
10.3390/healthcare12141415
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Cardiac death is the second most common cause of death among patients with acute ischemic stroke (IS), following neurological death resulting directly from acute IS. Risk prediction models and screening tools including electrocardiograms can assess the risk of adverse cardiovascular events after IS. Prolonged heart rate monitoring and early anticoagulation therapy benefit patients with a higher risk of adverse events, especially stroke patients with atrial fibrillation. IS and cardiovascular diseases have similar risk factors which, if optimally managed, may reduce the incidence of recurrent stroke and other major cardiovascular adverse events. Comprehensive risk management emphasizes a healthy lifestyle and medication therapy, especially lipid-lowering, glucose-lowering, and blood pressure-lowering drugs. Although antiplatelet and anticoagulation therapy are preferred to prevent cardiovascular events after IS, a balance between preventing recurrent stroke and secondary bleeding should be maintained. Optimization of early rehabilitation care comprises continuous care across environments thus improving the prognosis of stroke survivors.
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页数:17
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