International Psychogeriatrics
Volume 15, Supplement 1 - 2003
Prevention of Stroke Recurrence PHILIP B. GORELICK
ABSTRACT. Stroke recurrence can be reduced substantially by intervention with the appropriate stroke
preventive(s). Control of blood pressure, use of one of the antiplatelet agents aspirin, aspirin plus extended (modified)-release
dipyridamole, or clopidogrel, administration of warfarin for patients with atrial fibrillation and high-risk profiles for stroke, and use of carotid endarterectomy in patients with high grades of symptomatic carotid artery stenosis are all proven therapies for prevention of stroke recurrence. Newer therapies to reduce the risk of infection and inflammation promise to further reduce the risk of first and recurrent stroke and are undergoing testing. In this article we review standard and more novel means to prevent stroke recurrence.
