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. 2023 Dec;64(12):1171-1183.
doi: 10.1007/s00108-023-01615-w. Epub 2023 Nov 10.

[Secondary prophylaxis of ischemic stroke]

[Article in German]
Affiliations

[Secondary prophylaxis of ischemic stroke]

[Article in German]
Moritz Schmidbauer et al. Inn Med (Heidelb). 2023 Dec.

Abstract

The secondary prophylaxis of ischemic stroke provides an enormous therapeutic potential due to the high frequency of recurrent thrombembolic events and the exceptional importance of modifiable cardiovascular risk factors for the individual risk of stroke. In this respect, anti-thrombotic, interventional and surgical treatment options must be selected based on the respective etiology. Furthermore, meticulous optimization of risk factors is essential for effective long-term care. Close interdisciplinary and intersectoral collaboration is crucial, especially in the long-term treatment.

Die Sekundärprophylaxe ischämischer Schlaganfälle bietet ein enormes therapeutisches Potenzial, einerseits wegen der Häufigkeit von Rezidiven, andererseits aufgrund der herausragenden Bedeutung der modifizierbaren kardiovaskulären Risikofaktoren für das individuelle Schlaganfallrisiko. Dabei sind die antithrombotischen, interventionellen und operativen Therapiemöglichkeiten anhand der jeweiligen Ätiologie auszuwählen und die Risikofaktoren zielgerecht zu optimieren. Insbesondere in der Langzeitbehandlung ist eine enge interdisziplinäre und intersektorale Zusammenarbeit erforderlich.

Keywords: Anti-platelet therapy; Anticoagulants, oral; Diabetes mellitus; Hypertension; Post-stroke care.

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