Lookup NU author(s): Professor Helen Rodgers
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Considerable progress has been made in identifying stroke risk factors and factors associated with recurrence. Because aspirin is only moderately effective in secondary prevention, other agents such as dipyridamole and clopidogrel have been evaluated. Warfarin is of benefit in patients who have valvular and non-valvular atrial fibrillation. Carotid endarterectomy is beneficial to the small number of patients with transient ischaemic attack (TIA) or non-disabling stroke who have a significant carotid stenosis. Recent evidence suggests that all patients with TIA or ischaemic stroke may benefit from blood pressure and cholesterol lowering (including those who are normotensive or who have a 'normal cholesterol'). All patients should be given appropriate advice on lifestyle factors such as diet, regular exercise and stopping smoking.
Author(s): Rodgers H
Publication type: Review
Publication status: Published
Journal: British Journal of Cardiology
Print publication date: 01/01/2001
ISSN (print): 0969-6113
ISSN (electronic): 1753-4313