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Förebyggande behandling efter ischemisk stroke/TIA har effekt: [Preventive treatment to avoid recurrence of stroke and TIA is effective]
VO neurologi, Akademiska sjukhuset, Uppsala.
Neurologimottagningen, Sahlgrenska universitetssjukhuset, Göteborg.
Örebro University, School of Medical Sciences. VO neurologi och rehabiliteringsmedicin, Universitetssjukhuset Örebro.ORCID iD: 0000-0002-3845-8100
2023 (English)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 120, no 36-37, article id 23061Article in journal (Refereed) Published
Abstract [sv]

Sekundärprevention efter stroke/TIA inleds ofta i akutskedet och är effektiv för att undvika återinsjuknande.

Goda levnadsvanor (dvs fysisk aktivitet efter förmåga, rökfrihet, hälsosam diet och lågriskkonsumtion av alkohol) spelar en viktig roll vid prevention av stroke.

Val av sekundärprevention styrs av vilken typ av stroke/TIA som inträffat och dess bakomliggande orsak.

Kirurgisk strokeprevention kan vara aktuell, till exempel vid symtomgivande signifikant karotisstenos eller öppetstående foramen ovale vid kryptogen stroke.

Artikeln beskriver standardiserad sekundär strokeprevention enligt Socialstyrelsens riktlinjer, men också när förebyggande behandling behöver individanpassas.

Abstract [en]

Healthy living with physical activity, healthy eating habits, no smoking, and no alcohol overuse have an important role in primary and secondary stroke prevention. Further secondary prevention depends on type and cause of stroke or TIA. After intracerebral bleeding, ischemic stroke or TIA, preventive pharmacological therapies include antihypertensive drugs. After ischemic stroke or TIA, treatment with antithrombotics (oral anticoagulants or antiplatelets) and statins is recommended. In stroke due to unusual causes, the pharmacological preventive treatment described above may need modification. For symptomatic carotid stenosis, carotid surgery is recommended, preferably within the first 14 days after onset. A surgical preventive treatment is closure of patent foramen ovale in patients aged 18-60 years with ischemic stroke of unknown cause.

Place, publisher, year, edition, pages
Läkartidningen Förlag AB , 2023. Vol. 120, no 36-37, article id 23061
National Category
Neurology
Identifiers
URN: urn:nbn:se:oru:diva-108107PubMedID: 37668114OAI: oai:DiVA.org:oru-108107DiVA, id: diva2:1794585
Available from: 2023-09-06 Created: 2023-09-06 Last updated: 2024-01-02Bibliographically approved

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