Stroke survivors are at high risk for a second stroke. Each year in the United States, more than 690,000 adults have an ischemic stroke, which originate from blood clots that block blood flow in the brain or in a vessel leading to the brain. Another 240,000 Americans will experience a Transient Ischemic Attack, (TIA).
The American Heart Association/American Stroke Association released their “Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack (TIA),”is published in the American Heart Association journal Stroke, specifying that stroke survivors should control their blood pressure, cholesterol and weight and do moderate physical activity
“A vast amount of new research is revealing new and improved ways to protect patients with an ischemic stroke or transient ischemic attack from having recurrent events and further brain damage,” said Walter Kernan, M.D., lead author and chair of the guideline writing group and professor of medicine at Yale University School of Medicine in New Haven, Conn.
Treating high blood pressure is viewed as the most important relevant mechanism for secondary prevention of ischemic stroke. The statistics reflect that 70 percent of people who have had a recent ischemic also have high blood pressure.
The recommendation by the American Heart Association/American Stroke Association includes weekly physical activity with moderate-vigorous intensity aerobic physical exercise such as walking briskly or riding a bike, according to the statement; following a Mediterranean-type diet that emphasizes vegetables, fruits, whole grains and includes low-fat dairy, poultry, fish, legumes and nuts and limits sweets and red meat and screening patients for diabetes and obesity.
Walter N. Kernan, Bruce Ovbiagele, Henry R. Black, Dawn M. Bravata, Marc I. Chimowitz, Michael D. Ezekowitz, Margaret C. Fang, Marc Fisher, Karen L. Furie, Donald V. Heck, S. Claiborne (clay) Johnston, Scott E. Kasner, Steven J. Kittner, Pamela H. Mitchell, Michael W. Rich, Dejuran Richardson, Lee H. Schwamm, and John A. Wilson. Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, May 2014 DOI: 10.1161/STR.0000000000000024