View source for STROKE-RISK FACTORS, PRIMARY PREVENTION

===== [[Summary Article|'''SUMMARY''']] =====
The American Heart Association (AHA) &amp; American Stroke Association (ASA) published 2010 guidelines for <i>primary prevention</i> of stroke: 
<br/>
<br/>1. Treatment of HTN &amp; hyperlipidemia 
<br/>2. Smoking cessation 
<br/>3. Diet and exercise 
<br/>4. Treatment of AF with anticoagulation: aspirin (CHADS score 1), warfarin, aspirin &amp; clopidogrel (in patients unable to tolerate warfarin), dabigatran, rivaroxaban, or apixaban (CHADS score &gt; 1)
<br/>5. Carotid endarterectomy if &gt; 70% stenosis in selected patients, if operative morbidity and mortality is &lt; 3% 
<br/>6. Prophylaxis for migraine 
<br/>7. Evaluation and treatment of obstructive sleep apnea 
<br/>8. Screening for aneurysms with CTA or MRA for patients who have 2 or more 1<sup>st</sup> degree relatives with SAH/aneurysms or ADPKD


==Reference(s)==
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.]
<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.]
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

[[Category:Stroke]]
[[Category:Neurology]]
[[Category:Medicine]]