What is medicinal therapy for stroke prevention?

Blood thinners. Most strokes are caused by a brain infarction because of cholesterol plaques clotted producing obstruction to the blood flow to the tissue of a area of the brain. Less likely a hemorrhage in the brain. We use aspirin, Aggrenox , plavix, (clopidogrel) warfarin or Pradaxa as "blood thinners" to prevent strokes. We have to control blood pressure with meds too.
In Primary Stroke. Prevention (ie in someone who has not had a stroke, and is keen to avoid one) we modify risk factors. If indicated, consider medication to lower blood pressure (ACE inhibitor / Calcium Channel Blocker etc), or to lower blood cholesterol (Statin). Antiplatelet drugs (Aspirin) have an unclear role in Primary Prevention. Anticoagulants (Warfarin or NOAC) if Atrial Fibrillation and high CHADSVASC2.

Related Questions

Is there a "best medical therapy" for stroke prevention?

For secondary only. There is no approved therapy for primary stroke prevention. For secondary stroke prevention (already had a stroke), best medical therapy includes, blood pressure control, Aspirin or Plavix (clopidogrel) or anticoagution for atrial fibrillation, and a statin. If you smoke..Stop! blood sugar control to maintain hga1c in the normal range. A walk even with a walker 2->3x /wk if possible. A reasonable diet. Read more...

How do you do stroke prevention for people?

Treat causation. Common causes include diabetes, high tryglycerides, hypertension, heart disease, traumatic dissection damage to large blood vessels in neck, carotid stenosis, and all can be theoretically treated and controlled. Less common risks should also be treated, including sleep apnea, high homocysteine, sickle cell anemia, protein c and s deficiencies, anti-phospholipid ab syndrome. Read more...

Any quick measure we could take towards stroke prevention?

Healthy lifestyle. General recommendation is to control blood pressure, cholesterol levels, glucose levels (if diabetic), adhere to a healthy diet (mediterranean is great!), quit smoking and be physically active (at least 30 minutes per day 3 times a week). Read more...

What can be done for stroke prevention for someone who is having tias but is very active outdoors?

Stroke Prevention. You can help prevent a stroke if you control risk factors and treat medical conditions that can lead to a stroke. Some of the common risk factors for stroke: smoking, high blood pressure, high cholesterol, diabetes, obesity, inactivity, excess alcohol can all be treated. If your doctor recommends you take Aspirin or a blood thinner, take it. This can help prevent having a stroke. Read more...
TIA. Not enough information to even begin... First things first: overweight? High blood pressure? Smoking? High cholesterol? Yourself? Active outdoors doesn't help... If you have high blood pressure and be "active" may actually endanger you (if you have high blood pressure it goes up even higher during exercise). Read more...
Watch out for PFO's. The mainstay of Primary Stroke Prevention is modifying risk factors specifically blood pressure, cholesterol and blood sugar (if elevated) and making lifestyle change; sensible food choices, regular exercise, modest alcohol, and of course to stop smoking. In younger people Patent Foramen Ovale (PFO) is a rare but important cause of ischaemic stroke. Check with your Dr and consider Echocardiogram. Read more...

Is the Watchman device better for stroke prevention than Xarelto? Thanks

Different=Y.Better=? For people w atrial fibrillation, WATCHMAN is placed in heart to prevent blood clots->strokes.Is invasive procedure w risks. Xarelto=med,prevents clots without regular bloodwork warfarin needs. Pill, but w risk of bleeding. Both compare well to warfarin, no studies comparing to each other.Early days for WATCHMAN; likely will be used for normal hearts at first (normal valves).Weigh risks/benefits. Read more...
The verdict is. still out. The watchman device to seal off LAA is still considered investigational therapy, and needs to be put in in expert hands with all the attendant risks of an invasive procedure. AT your young age, it is still unknown the long-term efficacy of this device. More importantly in you, it would be important to see an EP cardiologist and ger an opinion on doing a MAZE/ablation procedure to sinus. Read more...

Which is better warfarine or sintromfor stroke prevention in afib are those home monitor device for INR accurate?

Sintrom not in US. I have no experience with Sintrom & doubt that anyone on HealthTap does, as it is not used in the US. Warfarin is quite common, though in atrial fibrillation, newer drugs like Rivaroxaban are being used because they don't require INR. According to published data, Warfarin has a longer effective period (36 hr vs 10 hr) than Sintrom, & therefore less fluctuation in INR. Fingerstick INR shld be accur. Read more...

Is sintrom (cumarin) safe for kidneys if s, creatinine 1.7 what InR range to keep in stroke prevention in afib?

Coumadin (warfarin) . It is safe to use in patients with kidney disease. INR needs to be between 2.0-3.0 preferably around 2.5 . Read more...
Yes it is safe. Atrial Fibrillation is responsible for c 25% of all strokes. Consideration of anti-coagulation (Coumadin / Warfarin) is important in prevention of ischaemic stroke. Use cha2ds2-vasc and HASBLED scores at www.mdcalc.com to make a decision with your Dr about whether to embark on anticoagulation. Warfarin is processed by the liver, and is usually safe in kidney disease. Target INR is 2-3 in AFib. Read more...

Advised recent data suggest medication management may be as successful as Carotid Endarterectomy surgery stroke prevention with 50%Occluded, But where?

ASA. The American Heart and Stroke Association have the best evidence based guidelines available for this type of thing. Some of which you can review at their website. Read more...
Cochrane Reviews. As of 2011 Carotid Endarterectomy was of marginal benefit in those with Stenosis 50%-69% and of no greater benefit in Stenosis 30-49% ... see http://www.ncbi.nlm.nih.gov/pubmed/21491381?dopt=Abstract Putting Endarterectomy into the search engine at http://onlinelibrary.wiley.com/ gives recent data. Give most weight to a Systematic Review.. Do note most of the Stenoses under study are are >70%. Read more...