Secondary prevention of ischaemic stroke

Intern Med J. 2019 Oct;49(10):1221-1228. doi: 10.1111/imj.14454.

Abstract

Recent trials within the past few years have influenced not only how we treat patients immediately after acute ischaemic stroke, but also how we investigate for aetiology. With the advent of improved medications, procedures and monitoring devices, modern stroke prevention strategies are more individualised, but the decision-making process is more complex. We provide an approach to navigating these management options.

Keywords: cryptogenic stroke; embolic stroke of unknown source; ischaemic stroke; left atrial appendage; patent foramen ovale; secondary prevention.

Publication types

  • Review

MeSH terms

  • Anticoagulants / therapeutic use*
  • Brain Ischemia / etiology
  • Brain Ischemia / prevention & control*
  • Cardiac Surgical Procedures / methods
  • Combined Modality Therapy
  • Foramen Ovale, Patent / complications
  • Foramen Ovale, Patent / therapy*
  • Humans
  • Platelet Aggregation Inhibitors / therapeutic use*
  • Randomized Controlled Trials as Topic
  • Recurrence
  • Risk Factors
  • Secondary Prevention / methods*
  • Stroke / etiology
  • Stroke / prevention & control*

Substances

  • Anticoagulants
  • Platelet Aggregation Inhibitors