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. 2020;109(4):277-289.
doi: 10.1024/1661-8157/a003395.

[Primary Prevention of Acute Stroke]

[Article in German]
Adrian Scutelnic  1 , Sven Streit  2 , Hakan Sarikaya  1 , Simon Jung  1 , Mirjam R Heldner  1
Affiliations

[Primary Prevention of Acute Stroke]

[Article in German]
Adrian Scutelnic et al. Praxis (Bern 1994). 2020.

Abstract
in English, German

Primary Prevention of Acute Stroke Abstract. Strokes are frequent. Vascular risk factors are increasing the stroke risk. Most vascular risk factors are treatable. Their therapy is important in the primary prevention of stroke. According to the INTERSTROKE study, arterial hypertension, inactivity, overweight, dyslipidemia, smoking, unhealthy diet, cardiac pathologies such as major arrhythmia, diabetes mellitus, stress/depression and overconsumption of alcohol are the most important treatable vascular risk factors. In this article, we will also report on at present less well known treatable vascular risk factors such as sleep apnea, atheromatosis of the aortic arch and of arteries supplying the brain, migraine with aura and chronic inflammatory disorders and infections.

Zusammenfassung. Das Lebenszeitrisiko, einen Hirnschlag zu erleiden, beträgt 1:6. Das Vorhandensein hirnschlagspezifischer Risikofaktoren erhöht das Risiko deutlich. Die meisten dieser Risikofaktoren sind behandelbar und Grundlage der Primärprävention. Laut der INTERSTROKE-Studie sind arterielle Hypertonie, Bewegungsmangel, Übergewicht, Dyslipidämie, Tabakkonsum, ungesunde Ernährung, kardiale Pathologien (wie z.B. relevante Rhythmusstörungen), Diabetes mellitus, Stress/Depression und Alkoholüberkonsum die wichtigsten behandelbaren Risikofaktoren. Wir berichten in diesem Artikel auch über noch weniger bekannte behandelbare Risikofaktoren wie z.B. Schlafapnoe, Atheromatose des Aortenbogens und der hirnversorgenden Arterien, Migräne mit Aura und chronische Entzündungen und Infektionen.

Keywords: Behandlung; Empfehlungen; Hirnschlag; Primary prevention; Primärprävention; Prévention primaire; Risikofaktoren; acute stroke; attaque vasculaire cérébrale; facteurs de risque; recommendations; recommendations; risk factors; therapy; théraphie.

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