The Stroke Council of the American Heart Association (AHA) recently updated its 1999 strokeprevention guidelines. The guidelines are evidencebased, and recommendations are given a grade based on the strength of the evidence that supports them. The new recommendations suggest that transient ischemic attack (TIA) and stroke be treated in an equally aggressive manner. The authors also recommend an approach that reduces the risk of all vascular events. Recommendations regarding management of risk factors related to comorbidities (hypertension, diabetes, and lipids) and lifestyle issues (smoking, physical activity, and alcohol) are included as well.
The new guidelines issue the strongest recommendations for the following:
The updated guidelines can be accessed on the AHA's Web site, www.americanheart.org.
Dr. Garrett is a clinical pharmacist practitioner at Cornerstone Health Care in High Point, NC.
One study linked multiple pregnancies to an increased risk of developing atrial fibrillation later in life, and another investigated the association between premature delivery and cardiovascular disease.
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