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This guideline provides a comprehensive yet succinct compilation of practical guidance for the secondary prevention of ischemic stroke or TIA (ie, prevention of ischemic stroke or TIA in individuals with a history of stroke or TIA).
Ischemic and hemorrhagic strokes lead to significant disability but, most important, are preventable. The 2024 primary prevention of stroke guideline provides recommendations based on current evidence for strategies to prevent stroke throughout the life span.
prevention of ischemic stroke or TIA (ie, prevention of ischemic stroke or TIA in individuals with a history of stroke or TIA). We aim to promote optimal dissemina-tion of information by using concise language and for-matting. The recommendations listed in this guideline are, whenever possible, evidence based and supported
The new guidance aligns with the AHA’s Life’s Essential 8 for optimizing cardiovascular and brain health and adds sex-specific suggestions for screening and prevention of stroke, including assessment of social determinants of health.
Up to 90% of strokes may be preventable by addressing vascular risk factors, including blood pressure control, diet, physical activity, and smoking cessation. Targeting multiple risk factors has additive effects. Despite these data, most stroke survivors have poorly controlled risk factors.
The guidelines recommend a Mediterranean-style diet, which has been shown to reduce the risk of stroke. The guidelines also urge health care professionals to screen patients for sedentary behavior, a confirmed risk factor for stroke, and to counsel them to engage in regular physical activity.
2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack. Guideline from the American Heart Association/American Stroke Association. Guideline, May 2021. Read Published Article. Affirmed by the AAN Institute Board of Directors.