The Prevention of Stroke

by Gorelick; Philip B.

• ISBN13: 9781842141151
• ISBN10: 1842141155
• Edition: 1st
• Format: Hardcover
• Copyright: 2002-04-26
• Publisher: CRC Press

Summary

Since stroke is the third leading cause of death in the United States and the major cause of disability in older individuals, prevention deserves greater and more dedicated efforts by medical practitioners and health policy planners. As the population continues to age, successful implementation of stroke prevention strategies should produce tangible benefits for large segments of society.The Prevention of Stroke focuses on the stroke risk factors that are amenable to modification and describes ongoing strategies for their amelioration. It emphasizes primary prevention of risk factors because intervention before a stroke risk factor appears clinically is likely to yield the highest benefits. It also recognizes secondary prevention measures as important in reducing the chance of a stroke. A strength of this book is its reliance on well-founded, scientifically derived evidence interpreted by clinically experienced stroke experts. The authors assess the state of our current knowledge of successful stroke prevention measures while pointing out areas where there is a need to develop new and better prevention techniques. With a fund of bibliographic references and comprehensive index, this is an essential clinical reference on the successful prevention of stroke.

Table of Contents

List of contributors	ix
Foreword	xiii
Dedication	xiv
Section I: Who is at risk of stroke?
Stroke incidence, mortality, and prevalence	1	(10)
George Howard
Virginia J. Howard
`Nonmodifiable' risk factors for stroke: age, race, sex, and geography	11	(10)
Virginia J. Howard
George Howard
Modifiable risk factors for stroke: hypertension, diabetes mellitus, lipids, tobacco use, physical inactivity, and alcohol	21	(18)
Bernadette Boden-Albala
Ralph L. Sacco
Cardiac disease and risk of ischemic stroke	39	(10)
Richard F. Gillum
Inflammation, infection and homocysteine in atherosclerosis	49	(16)
Thomas J. DeGraba
Stroke in sickle cell disease	65	(18)
Sung B. Lee
Robert J. Adams
Oral contraception and postmenopausal estrogen replacement therapy	83	(10)
Gretchen E. Tietjen
Robin L. Brey
Genetics and stroke	93	(12)
John W. Cole
Steven J. Kittner
Markers of subclinical vascular disease and stroke	105	(10)
Monika Hollander
Monique M.B. Breteler
Section II: Approaches to stroke prevention
Community mass and high risk strategies	115	(8)
Philip B. Gorelick
Stroke prevention in managed care: a five-dimensional health improvement model™	123	(8)
Meredith L. Tipton
Michael Fleming
National, state and local opportunities for stroke prevention	131	(10)
Darwin R. Labarthe
Miriam M. Fay
Quality improvement in stroke prevention	141	(8)
Robert G. Holloway
Steven R. Rush
Gaps in professional and community knowledge about stroke prevention and treatment	149	(6)
Larry B. Goldstein
Stroke and public policy: the role of stroke advocacy groups	155	(18)
Patti Shwayder
Section III: Control of risk factors and recurrent stroke and other prevention strategies
Chapter 16
Hypertension treatment	163	(6)
William J. Elliott
Jay Garg
Munavvar Izhar
Smoking cessation	169	(4)
Philip B. Gorelick
Hyperlipidemia and diabetes mellitus	173	(10)
Ambika Babu
Chakravarthy Kannan
Theodore Mazzone
Ethanol consumption and physical inactivity	183	(40)
William J. Elliott
Chapter 19
Antiplatelet therapies for prevention of first and recurrent stroke	193	(15)
Stanley N. Cohen
Anticoagulation for stroke prevention	208	(15)
Michael J. Schneck
Carotid endarterectomy for symptomatic and asymptomatic carotid stenosis	223	(10)
James D. Fleck
Jose Biller
Endovascular approaches to stroke prevention: thrombolysis, angioplasty/stenting, aneurysm coiling, and treatment of intracerebral vasospasm	233	(16)
Glen Geremia
Bradley Strimling
Nilay Patel
Pros and cons of screening for and ablating asymptomatic intracranial aneurysms	249	(6)
Sean Ruland
Dan Heffez
Closing remarks: on stroke prevention guidelines, organization of care and future perspectives	255	(4)
Edward H. Wong
Vladimir Hachinski
Index	259