Dilemmas in Secondary Stroke Prevention.

IF 7.8 1区医学 Q1 CLINICAL NEUROLOGY

Stroke Pub Date : 2025-07-01 Epub Date: 2025-04-21 DOI:10.1161/STROKEAHA.124.050403

Stephanie Vu, Noor Mahmoud, Shravan Sivakumar, Forough Yazdanian, Marc Fisher

引用次数: 0

Abstract

Secondary stroke prevention encompasses many approaches, including antithrombotic therapy, risk factor management, and a healthy lifestyle. Recommendations are typically based on the results of randomized clinical trials that provide evidence of benefit. However, in some situations, clinicians extrapolate the results of clinical trials into everyday practice, or trials have not provided sufficient information to make treatment decisions. This review will discuss 4 scenarios: dual-antiplatelet therapy, the perils of combining antiplatelet and anticoagulation, indications for statin therapy, and therapeutic considerations for patients with paroxysmal atrial fibrillation.

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二级中风预防的困境。

二级中风预防包括许多方法，包括抗血栓治疗、危险因素管理和健康的生活方式。建议通常是基于随机临床试验的结果，这些试验提供了有益的证据。然而，在某些情况下，临床医生将临床试验的结果外推到日常实践中，或者试验没有提供足够的信息来做出治疗决定。这篇综述将讨论4种情况：双重抗血小板治疗，抗血小板和抗凝联合治疗的危险，他汀类药物治疗的适应症，以及阵发性心房颤动患者的治疗注意事项。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Stroke 医学-临床神经学

CiteScore

13.40

自引率

6.00%

发文量

2021

审稿时长

3 months

期刊介绍： Stroke is a monthly publication that collates reports of clinical and basic investigation of any aspect of the cerebral circulation and its diseases. The publication covers a wide range of disciplines including anesthesiology, critical care medicine, epidemiology, internal medicine, neurology, neuro-ophthalmology, neuropathology, neuropsychology, neurosurgery, nuclear medicine, nursing, radiology, rehabilitation, speech pathology, vascular physiology, and vascular surgery. The audience of Stroke includes neurologists, basic scientists, cardiologists, vascular surgeons, internists, interventionalists, neurosurgeons, nurses, and physiatrists. Stroke is indexed in Biological Abstracts, BIOSIS, CAB Abstracts, Chemical Abstracts, CINAHL, Current Contents, Embase, MEDLINE, and Science Citation Index Expanded.