STROKE CARE PATHWAY
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SECONDARY PREVENTION of STROKE
Patients who have had a stroke are at increased risk for a further stroke (about 7% per year).The risk is highest early after stroke or TIA.
Such patients are also at risk from other vascular events such as myocardial infarct.
Secondary preventive treatment is therefore a priority for this group.
Most evidence is based on primary prevention of stroke, but the evidence for secondary prevention is now accumulating.
8. Any patient with carotid territory stroke & minor/absent disability should be considered for carotid endarterectomy.
9.All patients should be given appropriate lifestyle advice, including:
10. Statin therapy should be considered for those with a history of ischaemic heart disease & serum cholesterol >5mm/l following stroke.
More detail can be found in Section 11.3 of the Royal College of Physicians National Clinical Guidelines for Stroke, with grading of the approproate evidence sources.
Copyright ©Nikki Devitt 2002, on behalf of the WAHT Stroke Pathway Group
Date of last review: 25th April 2002
Date of next review:25th October 2002