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AHA Stroke Guidelines 2021 PDF

AHA Stroke Guidelines 2021 PDF Download

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AHA Stroke Guidelines 2021 PDF Details
AHA Stroke Guidelines 2021
PDF Name AHA Stroke Guidelines 2021 PDF
No. of Pages 14
PDF Size 0.37 MB
Language English
CategoryEnglish
Source www.nursingcenter.com
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AHA Stroke Guidelines 2021

Dear reader, if you are searching for AHA Stroke Guidelines 2021 PDF and you are unable to find it anywhere then don’t worry you are on the right page. Since 1990, the American Heart Association (AHA)/American Stroke Association (ASA)* has translated scientific evidence into clinical practice guidelines with recommendations for improving cerebrovascular health. Based on systematic methods for evaluating and classifying evidence, these guidelines provide the basis for providing quality cerebrovascular care. The AHA/ASA sponsors the development and publication of clinical practice guidelines without commercial support, and members volunteer their time to write and review them.

Clinical practice guidelines for stroke provide recommendations that apply to patients at or at risk of developing the cerebrovascular disease. The focus has been on clinical practice in the United States, but many aspects are relevant to patients around the world. While it must be acknowledged that guidelines can be used to inform regulatory or payer decisions, the main objective is to improve the quality of care and align it with the interests of patients. The aim of the guidelines is to define practices that meet the needs of most patients, but not in all situations, and should not replace clinical judgment; In addition, recommendations should be considered in the context of individual patient values, preferences, and related conditions.

AHA Stroke Guidelines 2021 PDF

TOP 10 Take-Home Messages for the Secondary Stroke Prevention Guideline:

  1. Specific recommendations for prevention strategies often depend on the ischemic stroke/transient ischemic attack subtype. Therefore, what is new in this guideline is to describe recommendations for clinical workup after ischemic stroke, define ischemic stroke pathology (if possible), and recommend treatments to reduce the risk of recurrent ischemic stroke. Identifying goals. Recommendations are now grouped by etiological subtype.
  2. Management of vascular risk factors is important for the prevention of secondary stroke, including diabetes, smoking cessation, lipids, and especially hypertension. Intensive medical management, which is often performed by multidisciplinary teams, is usually best with treatment goals tailored to the individual patient.
  3. Lifestyle factors, including a healthy diet and physical activity, are important in preventing a second stroke. A low-salt and Mediterranean diet is recommended to reduce the risk of stroke. Patients with stroke are particularly at risk for sedentary and prolonged sitting behavior and should be encouraged to perform physical activity in a supervised and safe manner.
  4. Changing patient behaviors such as diet, exercise, and medication compliance require more than simple advice or a brochure from their doctor. Programs using theoretical models of behavior change, proven techniques, and multidisciplinary support are needed.
  5. Antithrombotic therapy, including antiplatelet or anticoagulant agents, is recommended in almost all patients without any contraindications. With very few exceptions, the combination of antiplatelets and anticoagulation is generally not indicated for the prevention of secondary stroke. Dual antiplatelet therapy is not recommended long-term, and short-term, dual antiplatelet therapy is recommended only in very specific patients, including those with minor stroke and high-risk transient ischemic attack or intracranial stenosis with severe symptoms.
  6. Atrial fibrillation is a common and high-risk condition for a second ischemic stroke. Anticoagulation is usually recommended if the patient has no contraindications. Cardiac rhythm monitoring for occult atrial fibrillation is usually recommended if no other cause of stroke has been identified.
  7. Extracranial carotid artery disease is an important and treatable cause of stroke. Patients who are candidates for intervention for severe stenosis ipsilateral stroke or intermediate ischemic attack should have the stenosis repaired relatively quickly after their ischemic stroke. The choice between carotid endarterectomy and carotid artery stenting should be driven by the specific patient’s comorbidity and vascular anatomy.
  8. Patients with severe intracranial stenosis in the vascular area of ​​ischemic stroke or transient ischemic attack should not receive angioplasty and stenting as first-line treatment for the prevention of recurrence. Aggressive medical management of risk factors and short-term double-platelet therapy is preferred.
  9. In line with the previous 2014 guideline, there are several studies evaluating stroke prevention secondary to patent foramen ovale closure. Percutaneous closure of the patent foramen ovale is considered appropriate in patients who meet each of the following criteria: age 18-60 years, non-lacunar stroke, no other cause identified, and high-risk patent foramen ovale Features.
  10. Patients with embolic stroke of uncertain origin should not be empirically treated with anticoagulants or ticagrelor, as no benefit has been found.

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