Key to preventing the recurrence of stroke is to identify the precipitating cause(s).1 From there, prevention involves addressing that cause, e.g., by intervening in a patient with atherosclerosis, as identified using scanning technologies, using blood pressure lowering medications and statins.1 Primary prevention of stroke would involve reducing the risk of a first stroke.1
References:
1. Campbell BCV, De Silva DA, Macleod MR, et al. Ischaemic stroke. Nat Rev Dis Primers 2019; 5 (1): 70.
2. Feigin VL, Roth GA, Naghavi M, et al.; Global Burden of Diseases, Injuries and Risk Factors Study 2013 and Stroke Experts Writing Group. Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Neurol 2016; 15 (9): 913–924.
3. Owolabi MO, Thrift AG, Mahal A, et al.; Stroke Experts Collaboration Group. Primary stroke prevention worldwide: translating evidence into action. Lancet Public Health 2022; 7 (1): e74–e85.
4. Hachinski V, Einhäupl K, Ganten D, al. Preventing dementia by preventing stroke: the Berlin Manifesto. Alzheimers Dement 2019; 15 (7): 961–984.
