Transient ischemic attack secondary prevention

Transient ischemic attack Microchapters
Home
Main Stroke Page
Ischemic stroke Page
Hemorrhagic Stroke Page
Patient Information
Overview
Historical Perspective
Pathophysiology
Causes
Differentiating Transient Ischemic Attack from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
CT
MRI
Echocardiography
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
AHA/ASA Guidelines for Stroke
Future or Investigational Therapies
Case Studies
Case #1
Transient ischemic attack secondary prevention On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Transient ischemic attack secondary prevention All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Transient ischemic attack secondary prevention
CDC on Transient ischemic attack secondary prevention
Transient ischemic attack secondary prevention in the news
Blogs on Transient ischemic attack secondary prevention
Directions to Hospitals Treating Transient ischemic attack
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]

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)