Title 8. TS.BS Hồ Minh Tuấn - Strategies for preventing recurrent stroke.pdf ✅

Click to edit Master subtitle style Cardiovascular Risk Reduction After Stroke American Family Physician www.aafp.org/afp Volume 105, Number 1 ◆ January 2022 Risk domain Management strategy Alcohol Elimination or reduction in alcohol consumption in males drinking more than two and females drinking more than one alcoholic drink a day Drugs Cessation Glycemic control Goal A1C of 7% or less to decrease microvascular complications Hyperlipidemia After nonembolic stroke, treat with Statin daily, if LDLc>100 mg per dL (2.59 mmol per L); in high- risk patients, consider adding ezetimibe and PCSK9 inhibitor to lower stroke risk Hypertension BP< 130/80 mm Hg Hypertriglyceridemia When triglycerides are 135 to 499 mg per dL (1.53 to 5.64 mmol per L) in patients already taking a moderate- or high-intensity statin, consider adding icosapent ethyl Nutrition Mediterranean-style diet, consider reducing sodium to 1g per day Obesity Weight loss Physical activity Moderate-intensity exercise for 10 minutes four times per week or 20 minutes of vigorous activity twice a week Smoking Cessation using multibehavioral and evidence-based interventions, including avoidance of secondhand smoke Stimulants Cessation