Abstract
For patients who suffered a TIA or a stroke the risk of a second event is high. The recurrence rate, however, can be significantly reduced by a number of prophylactic strategies. Methods for secondary stroke prevention include a healthy lifestyle, intensive body exercise, a low cholesterol diet, and the cessation of smoking. High levels of blood pressure, cholesterol and blood glucose should be rigorously controlled. In particular, blood pressure levels should remain below 135/85 mmHg including a physiological day/night profile. All patients at high risk for cardiac embolism should receive oral anticoagulants. As the risk for embolic events increases with age (especially in patients with atrial fibrillation), a rigid "age-cutoff" for anticoagulation is not justified.
Publication types
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Comparative Study
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English Abstract
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Review
MeSH terms
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Administration, Oral
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Adult
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Anticholesteremic Agents / therapeutic use
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Anticoagulants / administration & dosage
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Antihypertensive Agents / therapeutic use
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Blood Coagulation Disorders / complications
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Brain Ischemia / etiology
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Carotid Artery, Internal
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Carotid Stenosis / complications
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Carotid Stenosis / surgery
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Cerebral Infarction / prevention & control
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Clinical Trials as Topic
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Contraceptives, Oral / adverse effects
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Embolism / complications
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Embolism / prevention & control
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Endarterectomy, Carotid
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Exercise
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Female
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Humans
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Hypertension / complications
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Hypertension / drug therapy
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Hypolipidemic Agents / therapeutic use
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Ischemic Attack, Transient / prevention & control
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Life Style
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Male
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Phenprocoumon / therapeutic use
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Platelet Aggregation Inhibitors / therapeutic use
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Recurrence
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Simvastatin / therapeutic use
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Smoking Cessation
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Stroke / etiology
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Stroke / prevention & control*
Substances
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Anticholesteremic Agents
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Anticoagulants
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Antihypertensive Agents
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Contraceptives, Oral
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Hypolipidemic Agents
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Platelet Aggregation Inhibitors
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Simvastatin
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Phenprocoumon