Secondary Prevention after Ischemic Stroke or Transient Ischemic Attack

被引：70

作者：

Davis, Stephen M. ^{[1
,2
,3
]}

Donnan, Geoffrey A. ^{[3
,4
]}

机构：

[1] Royal Melbourne Hosp, Melbourne Brain Ctr, Parkville, Vic 3050, Australia

[2] Univ Melbourne, Dept Med, Melbourne, Vic, Australia

[3] Univ Melbourne, Dept Neurol, Melbourne, Vic, Australia

[4] Florey Neurosci Inst, Melbourne, Vic, Australia

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2012年 / 366卷 / 20期

关键词：

SYMPTOMATIC CAROTID STENOSIS; HEALTH-CARE PROFESSIONALS; VASCULAR EVENTS; CARDIOVASCULAR EVENTS; AGGRESSIVE REDUCTION; HEMORRHAGIC STROKE; MEDICAL THERAPY; BLOOD-PRESSURE; ASPIRIN; ENDARTERECTOMY;

D O I：

10.1056/NEJMcp1107281

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

A 62-year-old woman is seen 1 week after an ischemic stroke. She had presented to another hospital with dysphasia and right-sided weakness; magnetic resonance imaging (MRI) showed a recent infarction in the left parietal cortex, and computed tomographic angiography (CTA) showed a high-grade stenosis in the left proximal internal carotid artery with normal intracranial vessels (Fig. 1). She was treated with intravenous recombinant tissue plasminogen activator and discharged home, taking aspirin and a statin. She stopped smoking 12 years ago. On examination, the blood pressure is 145/90 mm Hg. She reports some mild residual clumsiness of her right hand. What would you advise to reduce the risk of stroke recurrence?

引用

页码：1914 / 1922

页数：9

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