van Schaik Sander M, van den Berg-Vos Renske M, Weinstein Henry C
Sint Lucas Andreas Ziekenhuis, afd. Neurologie, Amsterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2013;157(20):A6275.
Cardiac rehabilitation programmes reduce mortality in patients following myocardial infarction. Patients with a history of transient ischaemic attack (TIA) or ischemic stroke have a high risk of recurrent stroke or other cardiovascular events, comparable with the risk that myocardial infarction patients show for recurrence. Evidence for the effectiveness of secondary prevention strategies following TIA and ischemic stroke is compelling. Despite this convincing evidence, secondary prevention in the routine practice of stroke care is suboptimal. Improving adherence to guidelines and cardiovascular lifestyle changes by standardized post-stroke care, mirroring practice in cardiac rehabilitation programmes, could be a promising method for increasing effectiveness of secondary stroke prevention.
心脏康复计划可降低心肌梗死后患者的死亡率。有短暂性脑缺血发作（TIA）或缺血性中风病史的患者发生复发性中风或其他心血管事件的风险很高，与心肌梗死患者的复发风险相当。TIA和缺血性中风后二级预防策略有效性的证据很有说服力。尽管有这些令人信服的证据，但中风护理常规实践中的二级预防仍未达到最佳效果。通过标准化的中风后护理提高对指南的依从性和心血管生活方式的改变，效仿心脏康复计划中的做法，可能是提高中风二级预防有效性的一种有前景的方法。
