Epidemiology and Primary Prevention of Stroke

Karen Furie, MD Cerebrovascular Disease p. 260-267 April 2020, Vol.26, No.2 doi: 10.1212/CON.0000000000000831
REVIEW ARTICLES
BROWSE ARTICLES
Article as PDF
-- Select an option --

PURPOSE OF REVIEW This article provides an update on the epidemiology and prevention of a first stroke. Risk factor modification plays a large role in stroke prevention. Strategies for early intervention, particularly for hypertension, are critical for reducing stroke morbidity and mortality.

RECENT FINDINGS Because of the new criteria for hypertension, more people are now classified as hypertensive and can benefit from lifestyle or medical management. Direct oral anticoagulants have made it easier to safely treat patients with atrial fibrillation and are now considered first-line therapy for patients with an additional stroke risk factor.

SUMMARY Primary prevention of stroke is essential for maintaining brain health throughout the life span. Adherence to a healthy lifestyle and routine screening for stroke risk factors can promote healthy, stroke-free aging.

Address correspondence to Dr Karen Furie, 593 Eddy St, APC 5, Providence, RI, 02903, klfurie@gmail.com.

RELATIONSHIP DISCLOSURE: Dr Furie has received personal compensation for serving on an advisory committee for the American Heart Association and as a deputy editor for the Journal of Neurology, Neurosurgery & Psychiatry, and Stroke, and has received research/grant support from the National Institutes of Health, StrokeNet, and UpToDate, Inc.

UNLABELED USE OF PRODUCTS/INVESTIGATIONAL USE DISCLOSURE: Dr Furie reports no disclosure.

© 2020 American Academy of Neurology.