Stroke prevention – what patients can or should do

An aspirine a day, some statin, maybe more drugs (controlling BP, cholesterol, sugar) – we have a lot of ideas what to prescribe patients after their stroke. So what should they themselves do to prevent the next stroke?

I preach the five columns of stroke prevention behavior

  1. Lose weight 
  2. Move around (5 times 30 minutes a week)
  3. Eat healthy (see recommendations by our German Nutritional Society)
  4. Don’t smoke
  5. Take your drugs (aka adherence)

This all sounds very well and we all suspect that properly following these instructions will reduce stroke risk in high risk situations (such as intracranial stenosis – see SAMMPRIS). Still, the evidence is scarce – as far as I know every attempt at showing that a particular diet is helpful for mortality failed. Studies for sports are rare. Even smoking studies are hard to come by.

We discuss the evidence and then develop a plan for a given patient.


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.