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__NOTOC__ | __NOTOC__ | ||
{{Transient ischemic attack}} | {{Transient ischemic attack}} | ||
{{CMG}}{{AE}}{{AA}} | |||
==Overview== | |||
==Secondary prevention== | |||
===Life style modification for secondary prevention=== | |||
Life style modification measures which may help reduce the risk of recurrent stroke and prevent complications may include: | |||
*Increased physical activity->10 min of exercise such as walking, running, bicycling or swimming > 3 times/wk | |||
*Eating healthy balanced diet | |||
*Smoking cessation | |||
*Decreased alcohal intake | |||
===Treatment of modifiable risk factors=== | |||
====Blood pressure==== | |||
*BP control to less than 140/90mmHg or 130/90mm Hg with an angiotensin inhibitor alone or in combination with a diuretic or angiotensin receptor blocker | |||
====Diabetes mellitus==== | |||
*Diabetes control with fasting blood glucose level <126mg/dl. | |||
====Hyperlipidemia==== | |||
*Initiation of statin for hyperlipidemia with goal LDL level<100mg/dl | |||
====Antithrombotic stroke==== | |||
*Long term antiplatelet therapy with aspirin, dipyrimadole plus aspirin, clopidogrel or aspirin alone | |||
*Anticoagulation not required | |||
====Cardioembolic stroke==== | |||
*Anticoagualtion for atrial fibrillation with Vit K or NOACs. | |||
*If intolerant to anticoagulation, aspirin 325 mg or clopidogrel 75 mg (if aspirin intolerant) | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 20:01, 8 December 2016
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Transient ischemic attack Microchapters |
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Differentiating Transient Ischemic Attack from other Diseases |
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Transient ischemic attack secondary prevention On the Web |
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Risk calculators and risk factors for Transient ischemic attack secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Secondary prevention
Life style modification for secondary prevention
Life style modification measures which may help reduce the risk of recurrent stroke and prevent complications may include:
- Increased physical activity->10 min of exercise such as walking, running, bicycling or swimming > 3 times/wk
- Eating healthy balanced diet
- Smoking cessation
- Decreased alcohal intake
Treatment of modifiable risk factors
Blood pressure
- BP control to less than 140/90mmHg or 130/90mm Hg with an angiotensin inhibitor alone or in combination with a diuretic or angiotensin receptor blocker
Diabetes mellitus
- Diabetes control with fasting blood glucose level <126mg/dl.
Hyperlipidemia
- Initiation of statin for hyperlipidemia with goal LDL level<100mg/dl
Antithrombotic stroke
- Long term antiplatelet therapy with aspirin, dipyrimadole plus aspirin, clopidogrel or aspirin alone
- Anticoagulation not required
Cardioembolic stroke
- Anticoagualtion for atrial fibrillation with Vit K or NOACs.
- If intolerant to anticoagulation, aspirin 325 mg or clopidogrel 75 mg (if aspirin intolerant)