Department of Neurology, Medical University of South Carolina, Charleston, South Carolina.
J Neuroophthalmol. 2020 Dec;40(4):463-471. doi: 10.1097/WNO.0000000000001133.
This article will serve as a comprehensive review of secondary prevention of ischemic stroke and central and branch retinal artery ischemia, which are closely linked pathologically and can be managed similarly to prevent further reoccurrence.
We conducted a search in PubMed with a focus on reports involving secondary stroke prevention.
This review discusses the etiologies of stroke and addresses the evidence for optimal therapies for secondary stroke prevention. We review recent clinical trials that will serve as an aid to the neuro-ophthalmologist in practice to determine the best next step in management and when to consider further referral to a stroke specialist.
The optimal treatment to prevent stroke recurrence is determined by the etiology of stroke. After stroke workup, patients will typically be placed on proper medical therapy for the appropriate duration in addition to counseling on lifestyle modifications to reduce the risk of recurrent strokes. For complex patients, it is reasonable for providers to consider patient referral to stroke specialists for further aid in selection of appropriate medical therapy.
本文将对缺血性脑卒中及中央和分支视网膜动脉缺血的二级预防进行全面综述，这两种疾病在病理上密切相关，可通过类似的方法进行管理，以预防再次发生。
我们在 PubMed 上进行了检索，重点关注涉及二级卒中预防的报告。
本综述讨论了卒中的病因，并探讨了二级卒中预防的最佳治疗方法的证据。我们回顾了最近的临床试验，这些试验将为神经眼科医生在实践中提供帮助，以确定在管理中采取的最佳下一步措施，以及何时考虑进一步转介给卒中专家。
预防卒中复发的最佳治疗方法取决于卒中的病因。卒中检查后，除了对生活方式改变进行咨询以降低卒中复发风险外，患者通常还需要接受适当的药物治疗，具体的治疗时间取决于患者的具体情况。对于复杂的患者，临床医生有理由考虑将患者转介给卒中专家，以进一步帮助选择适当的药物治疗。
