To support the neurosurgery community in these unprecedented times, the CNS is offering complimentary online education. Learn more.
Explore Online Education
Apply for Membership
Download the Guidelines App
Visit the D.C. Press Room
Externally Produced and Endorsed Sponsor: American Heart Association/American Stroke Association Specialty: Cerebrovascular Publisher: Stroke, May 2014
read the guideline download pdf
The aim of this updated guideline is to provide comprehensive and timely evidence-based recommendations on the prevention of future stroke among survivors of ischemic stroke or transient ischemic attack. The guideline is addressed to all clinicians who manage secondary prevention for these patients. Evidence-based recommendations are provided for control of risk factors, intervention for vascular obstruction, antithrombotic therapy for cardioembolism, and antiplatelet therapy for noncardioembolic stroke. Recommendations are also provided for the prevention of recurrent stroke in a variety of specific circumstances, including aortic arch atherosclerosis, arterial dissection, patent foramen ovale, hyperhomocysteinemia, hypercoagulable states, antiphospholipid antibody syndrome, sickle cell disease, cerebral venous sinus thrombosis, and pregnancy. Special sections address use of antithrombotic and anticoagulation therapy after an intracranial hemorrhage and implementation of guidelines.
Find answers to frequently asked questions.