12B. Primary prevention of stroke

Page created on June 3, 2021. Not updated since.

The primary prevention of stroke is similar to that of all cardiovascular disease. Many major risk factors for CVD are modifiable. 90% of stroke burden globally is due to modifiable risk factors.

CHA2DS2-VASC score

This score is used to determine whether patients with atrial fibrillation should receive anticoagulants or not. The score is like this:

  • Congestive heart failure – 1 point
  • Hypertension – 1 point
  • Age > 75 years – 2 points
  • Diabetes mellitus – 1 point
  • Stroke, TIA, or thromboembolism – 2 points
  • Vascular disease (CAD, PAD, etc.) – 1 point
  • Age 65 – 74 years – 1 point
  • Sex Category: female – 1 point

Anticoagulation is indicated if the score is 2 or more in men or 3 or more in women. The recommended anticoagulant is a DOAC.

Other primary preventions

  • Healthy diet – increase intake of
    • Fruits and vegetables
    • Fibre
    • Foods with low glycaemic index and low glycaemic load
    • Monounsaturated fat rather than trans or saturated fat
    • Omega-3 fatty acids from foods
  • Smoking cessation
  • Hypertension – treat
  • Dyslipidaemia – treat
  • Increase physical activity
    • Moderate intensity exercise for 150 minutes/week OR:
    • Vigorous intensity exercise for 75 minutes/week
  • Weight loss – in cases of overweight or obesity
  • Treatment of type 2 diabetes

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12A. Encephalitis

Next page:
13A. Ischias syndrome and cervicobrachialgia (symptoms, warning signs)

Parent page:
Neurology 2

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