Current aspects of secondary prevention of ischemic stroke

被引:0
作者
Weber, R.
Diener, H. C. [1 ]
Grond, M.
机构
[1] Univ Klinikum Essen, Neurol Klin, Duisburg, Germany
[2] Kreisklinikum, Neurol Klin, Siegen, Germany
来源
NERVENARZT | 2007年 / 78卷 / 10期
关键词
cardiovascular risk factors; ischemic stroke; platelet inhibitors; secondary prevention; vitamin substitution;
D O I
10.1007/s00115-007-2351-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Secondary prevention including lifestyle modulation and medical interventions remain the basic principle in our therapeutic challenge to reduce the risk of recurrent subsequent ischemic stroke. The substantial number of randomized clinical trials published in the past 2 years was broadened our evidence-based therapeutic armament in the field of secondary prevention of ischemic stroke. An update of current knowledge in secondary stroke prevention is presented in this review on the basis of the 2007 revised guidelines of the German Neurological Society and the German Stroke Society. Special emphasis is given to medical and nonmedical modulation of cardiovascular risk factors (treatment of hypertension, hypercholesterolemia, and diabetes mellitus), prophylactic vitamin supplementation, and the use of platelet inhibitors and treatment of symptomatic intracranial stenosis.
引用
收藏
页码:1138 / +
页数:6
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