Therefore, we want it to be actively implementedstrokelevel onepreventmeasures, including better screening and lifestyle changes.
The higher risk of stroke in certain groups may be related to genetic factors (such as genetic diseases), biological factors related to sex or hormones, and social factors.
Social determinants refer to non-medical factors, including education, economic stability, access to medical services, neighborhood, race, etc. Adverse social determinants and stage 1 strokepreventDirectly related to a higher prevalence of risk factors, decreased access to care for stroke risk factor screening and management, and the ability to implement behavioral and lifestyle changes to reduce stroke risk.
The guide emphasizes that the AHA 8 elements of life and health are essential forstrokelevel onepreventEssentially, include a healthy diet, physical activity, healthy weight, healthy sleep, smoking cessation, and meeting blood lipid, blood sugar, and blood pressure goals.
A healthy lifestyle includes following a Mediterranean diet, which has been shown to significantly reducestrokeRisks, especially when eating nuts and olive oil. These guidelines recommend that adults with no history of cardiovascular disease and those at high or intermediate risk adhere to a Mediterranean diet. A low-fat diet can’t reduce itstrokedanger.
The guidelines also emphasize the need for physical activity, which benefits cardiovascular health and reducesstrokeis “required”.
Long periods of sedentary behavior are associated with an increased risk of stroke. Screening for sedentary behavior to avoid prolonged sitting and engaging in regular moderate to high intensity physical activity is recommended.
Based on strong evidence-based evidence, glucagon-like peptide 1 (GLP-1) receptor agonists significantly improve the prognosis of type 2 diabetes, reduce weight, reduce cardiovascular disease andstrokedanger. Therefore, guidelines recommend GLP-1 receptor agonists for use in patients with diabetes and high cardiovascular risk or established cardiovascular disease.
Blood pressure management is effectivepreventstrokekey. Randomized controlled trials have shown that only about 30% of patients can achieve target blood pressure with an antihypertensive drug.
Most patients need to take 2 to 3 drugs to achieve normal blood pressure levels. Based on these data, the guidelines recommend that most patients who require antihypertensive medications for the treatment of hypertension use at least two antihypertensive medications.strokeLevel 1prevent.
For those who have but do not have antiphospholipid syndrome or systemic lupus erythematosusstrokeFor patients with a history of venous thromboembolism or unexplained venous thromboembolism, the guidelines recommend the use of antiplatelet drugspreventstroke. Patients with antiphospholipid syndrome and a history of unexplained venous thromboembolism may benefit from treatment with vitamin K antagonists (target INR 2 to 3) rather than direct oral anticoagulation.
The instructions say,preventpregnancystrokeThe main thing is to control high blood pressure. Systolic blood pressure > 160 mmHg or diastolic blood pressure > 110 mmHg during pregnancy and within 6 weeks thereafter requires antihypertensive treatment to reduce the risk of fatal cerebral hemorrhage.
And bad pregnancy is common and associated with chronic hypertension, which can increasestrokedanger. Therefore, screening is recommended for pregnancy to assess and manage vascular risk factors.
Endometriosis, premature ovarian insufficiency (before age 40) and early menopause (before age 45) are all associated withstrokeassociated with higher risk. The guidelines emphasize that screening for these three conditions should lead to the assessment and management of vascular risk factors to reduce thema strokedanger.
source:[1]2024 Guidelines for Primary Stroke Prevention: Guidelines from the American Heart Association/American Stroke Association. A stroke. 2024 October 21.
2024-11-09 09:41:00
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