Romano Jose G, Sacco Ralph L
Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Ann Neurol. 2008 Apr;63(4):418-27. doi: 10.1002/ana.21400.
There are about 200,000 recurrent strokes each year in the United States. In addition, a large proportion of strokes are preceded by a transient ischemic attack. Therefore, secondary stroke prevention strategies are of great importance.
Select ongoing and recently completed studies were reviewed, with emphasis on those completed since the publication of secondary prevention guidelines. Ongoing studies that have the potential to modify existing recommendations are also mentioned.
This review discusses recently completed and ongoing studies that have the potential to impact clinical practice. The topics discussed include hypertension, dyslipidemia, extracranial carotid and intracranial atherosclerotic disease, and antithrombotic therapy.
Recent studies have provided evidence that impact secondary stroke prevention.
在美国，每年约有20万例复发性中风。此外，很大一部分中风之前会有短暂性脑缺血发作。因此，二级中风预防策略至关重要。
对已开展和近期完成的研究进行了综述，重点关注自二级预防指南发布以来完成的研究。还提及了有可能改变现有建议的正在进行的研究。
本综述讨论了近期完成的以及有可能影响临床实践的正在进行的研究。讨论的主题包括高血压、血脂异常、颅外颈动脉和颅内动脉粥样硬化疾病以及抗栓治疗。
近期研究已提供了对二级中风预防有影响的证据。
