Hemorrhagic stroke secondary prevention
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Hemorrhagic stroke Microchapters |
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Diagnosis |
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Treatment |
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AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage (2015) |
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AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (2012) |
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AHA/ASA Guideline Recommendation for the Primary Prevention of Stroke (2014) |
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AHA/ASA Guideline Recommendations for Prevention of Stroke in Women (2014) Sex-Specific Risk Factors
Risk Factors Commoner in Women |
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Case Studies |
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Hemorrhagic stroke secondary prevention On the Web |
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American Roentgen Ray Society Images of Hemorrhagic stroke secondary prevention |
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Risk calculators and risk factors for Hemorrhagic stroke secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Effective measures for the secondary prevention of hemorrhagic stroke include lifestyle modifications, controlling the modifiable risk factors, and treatment of specific cause of hemorrhagic stroke.[1][2][3]
Secondary Prevention
Life style modification
Life style modification measures which may help reduce the risk of recurrent hemorrhagic stroke may include:
- Eating healthy balanced diet
- Smoking cessation
- Decreased alcohal intake
Treatment of modifiable risk factors
- Treatment and maintainence of hypertension and diabetes mellitus
- Proper management and follow up of genetic conditions
For AHA/ASA guidelines for prevention of stroke, please click here
Secondary prevention of complications
The preventive measures which may help prevent complications of ischemic stroke include:
- Use of intermittent pneumatic compressions and low molecular weight heparin in patients with high risk of thromboembolism
- There is no prophylaxis for prevention of seizures in patients with ischemic stroke. However, one episode of seizure may mandate the use of antiepileptic medication to prevent recurrence
- Proper positioning of patient, and the use of thick feed with the help of nasogastric tube for feeding to prevent aspiration pneumonia in patients with cranial nerve palsies affecting pharyngeal motility and gag reflex
- Pressure ulcers may be prevented by use of air mattress and regular change in position of patient
References
- ↑ Adams HP (2009). "Secondary prevention of atherothrombotic events after ischemic stroke". Mayo Clin Proc. 84 (1): 43–51. doi:10.1016/S0025-6196(11)60807-0. PMC 2664570. PMID 19121254.
- ↑ Kappelle LJ, Van Der Worp HB (2004). "Treatment or prevention of complications of acute ischemic stroke". Curr Neurol Neurosci Rep. 4 (1): 36–41. PMID 14683626.
- ↑ Anders J, Heinemann A, Leffmann C, Leutenegger M, Pröfener F, von Renteln-Kruse W (2010). "Decubitus ulcers: pathophysiology and primary prevention". Dtsch Arztebl Int. 107 (21): 371–81, quiz 382. doi:10.3238/arztebl.2010.0371. PMC 2883282. PMID 20539816.