Polívka Jiří, Rohan Vladimír, Sevčík Petr, Polívka Jiří
Department of Neurology, Faculty of Medicine in Pilsen, Charles University in Prague, Alej Svodody 80, Pilsen 304 60, Czech Republic ; Department of Neurology, University Hospital Pilsen, Alej Svodody 80, Pilsen 304 60, Czech Republic.
Department of Histology and Embryology, Faculty of Medicine in Pilsen, Charles University in Prague, Karlovarska 48, Pilsen 301 66, Czech Republic ; Biomedical Centre, Faculty of Medicine in Pilsen, Charles University in Prague, Karlovarska 48, Pilsen 301 66, Czech Republic.
EPMA J. 2014 Jun 4;5(1):9. doi: 10.1186/1878-5085-5-9. eCollection 2014.
Primary and secondary prevention of ischemic stroke represents a significant part of stroke management and health care. Although there are official guidelines concerning stroke management, new knowledge are introduced to them with a slight delay. This article provides an overview of current information on primary and secondary prevention of ischemic stroke. It summarizes information especially in the field of cardioembolic stroke, the use of new anticoagulants and the management of carotid stenosis based on the results of recent clinical studies. The optimal approach in stroke management is to follow these recommendations, to know new strategies and to apply an individual personalized approach in our clinical decisions.
缺血性中风的一级和二级预防是中风管理和医疗保健的重要组成部分。尽管有关于中风管理的官方指南，但新知识的引入会稍有延迟。本文概述了缺血性中风一级和二级预防的当前信息。它尤其根据近期临床研究结果总结了心源性栓塞性中风领域、新型抗凝剂的使用以及颈动脉狭窄管理方面的信息。中风管理的最佳方法是遵循这些建议，了解新策略，并在我们的临床决策中采用个性化方法。
