Ischemic stroke/TIA — secondary prevention
- Determine mechanism: atherosclerotic vs cardioembolic
- Antiplatelet for most noncardioembolic events
- AF-related stroke usually needs anticoagulation
- Short DAPT for selected minor stroke/high-risk TIA
- High-intensity statin + BP/smoking control
- Carotid revascularization when indicated
Use at a glance
- Determine mechanism: atherosclerotic vs cardioembolic
Treatment options
- Antiplatelet for most noncardioembolic events
- AF-related stroke usually needs anticoagulation
- High-intensity statin + BP/smoking control
Choosing treatment
- Carotid revascularization when indicated
Treatment selection
- Short DAPT for selected minor stroke/high-risk TIA
Self-check
- What usually prevents recurrent AF-related stroke?
Anticoagulation. - What is used for most noncardioembolic stroke prevention?
An antiplatelet.
Drugs used for this (2)
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