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[二级卒中预防]

[Secondary stroke prevention].

作者信息

Bachhuber Armin

机构信息

Klinik für Diagnostische und Interventionelle Neuroradiologie, Kirrberger Straße, Gebäude 90, 66421, Homburg/Saar, Deutschland.

出版信息

Radiologie (Heidelb). 2025 Feb;65(2):127-130. doi: 10.1007/s00117-024-01411-z. Epub 2025 Jan 14.

DOI:10.1007/s00117-024-01411-z
PMID:39808268
Abstract

BACKGROUND

The treatment of strokes is based on two pillars: the efficient management of acute strokes to minimize permanent neurological deficits, and secondary prevention to avoid recurrence.

OBJECTIVE

To summarize current recommendations for secondary stroke prevention.

MATERIALS AND METHODS

Guidelines and recent studies on the most common causes of strokes, and their treatment and prevention are reviewed. Special attention is given to endovascular therapy and cardioembolic strokes.

CONCLUSION

A brief overview of recommended therapies is provided.

摘要

背景

中风治疗基于两大支柱:有效管理急性中风以尽量减少永久性神经功能缺损,以及二级预防以避免复发。

目的

总结当前中风二级预防的建议。

材料与方法

回顾了关于中风最常见病因及其治疗和预防的指南及近期研究。特别关注血管内治疗和心源性栓塞性中风。

结论

提供了推荐疗法的简要概述。

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本文引用的文献

1
Early versus Later Anticoagulation for Stroke with Atrial Fibrillation.早期与晚期抗凝治疗房颤相关性脑卒中。
N Engl J Med. 2023 Jun 29;388(26):2411-2421. doi: 10.1056/NEJMoa2303048. Epub 2023 May 24.
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Rivaroxaban in Rheumatic Heart Disease-Associated Atrial Fibrillation.利伐沙班在风湿性心脏病相关心房颤动中的应用。
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Corrigendum to: 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC.
勘误:《2020年欧洲心脏病学会(ESC)与欧洲心胸外科学会(EACTS)合作制定的心房颤动诊断和管理指南》:欧洲心脏病学会(ESC)心房颤动诊断和管理特别工作组,由ESC的欧洲心律协会(EHRA)特别贡献制定。
Eur Heart J. 2021 Oct 21;42(40):4194. doi: 10.1093/eurheartj/ehab648.
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2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association.《2021年卒中与短暂性脑缺血发作患者卒中预防指南:美国心脏协会/美国卒中协会指南》
Stroke. 2021 Jul;52(7):e364-e467. doi: 10.1161/STR.0000000000000375. Epub 2021 May 24.
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Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.急性缺血性脑卒中患者早期管理指南:2018 年急性缺血性脑卒中早期管理指南的更新:美国心脏协会/美国卒中协会发布的医疗保健专业人员指南。
Stroke. 2019 Dec;50(12):e344-e418. doi: 10.1161/STR.0000000000000211. Epub 2019 Oct 30.
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Sex Differences in Hypertension and Stroke Risk in the REGARDS Study: A Longitudinal Cohort Study.高血压和中风风险的性别差异在 REGARDS 研究中:一项纵向队列研究。
Hypertension. 2019 Oct;74(4):749-755. doi: 10.1161/HYPERTENSIONAHA.119.12729. Epub 2019 Aug 13.
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Dabigatran for Prevention of Stroke after Embolic Stroke of Undetermined Source.达比加群酯预防来源不明的栓塞性卒中后卒中
N Engl J Med. 2019 May 16;380(20):1906-1917. doi: 10.1056/NEJMoa1813959.
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Contemporary prevalence of carotid stenosis in patients presenting with ischaemic stroke.当代缺血性脑卒中患者颈动脉狭窄的流行情况。
Br J Surg. 2019 Jun;106(7):872-878. doi: 10.1002/bjs.11136. Epub 2019 Apr 2.
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European position paper on the management of patients with patent foramen ovale. General approach and left circulation thromboembolism.欧洲关于卵圆孔未闭患者管理的立场文件。一般方法和左循环血栓栓塞。
Eur Heart J. 2019 Oct 7;40(38):3182-3195. doi: 10.1093/eurheartj/ehy649.
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The AtRial Cardiopathy and Antithrombotic Drugs In prevention After cryptogenic stroke randomized trial: Rationale and methods.不明原因卒中后心房心肌病和抗血栓药物预防的随机试验:原理和方法。
Int J Stroke. 2019 Feb;14(2):207-214. doi: 10.1177/1747493018799981. Epub 2018 Sep 10.