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Stroke - Prevention

Alternative Names

Cerebrovascular disease; CVA; Cerebral infarction; Cerebral hemorrhage; Ischemic stroke; Stroke - ischemic

Prevention:

To help prevent a stroke:

  • Avoid fatty foods. Follow a healthy, low-fat diet.
  • Do not drink more than 1 to 2 alcoholic drinks a day.
  • Exercise regularly: 30 minutes a day if you are not overweight; 60 - 90 minutes a day if you are overweight.
  • Get your blood pressure checked every 1 - 2 years, especially if high blood pressure runs in your family.
  • Have your cholesterol checked. If you are at high risk for stroke, your LDL "bad" cholesterol should be lower than 100 mg/dL. Your doctor may recommend that you try to reduce your LDL cholesterol to 70 mg/dL.
  • Follow your doctor's treatment recommendations if you have high blood pressure, diabetes, high cholesterol, and heart disease.
  • Quit smoking.

Aspirin therapy (81mg a day or 100mg every other day) is recommended for stroke prevention in women under 65 as long as the benefits outweigh the risks. It should be considered for women over age 65 only if their blood pressure is controlled and the benefit is greater than the risk of gastrointestinal bleeding and brain hemorrhage. Ask your doctor if aspirin is right for you.

Your doctor may also recommend aspiring therapy or another blood thinner if you have had a transient ischemic attach (TIA) or stroke in the past or if you currently have:

A type of surgery calledcarotid endarterectomy may help prevent new strokes from occurring in persons with large blockages in their neck arteries.

  • Reviewed last on: 9/16/2008
  • Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Goldstein LB. Prevention and management of stroke. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Libby: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Saunders;2007:chap 58.

Zivin JA. Hemorrhagic cerebrovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 432.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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