Abstract
Secondary prevention of recurrent stroke and other cardiovascular diseases is of key importance for the management of a patient after ischemic stroke. Medications (antihypertensive, antiplatelet, or anticoagulant drugs and statins) are recommended for use; and a small proportion of patients should undergo surgical treatment (carotid endarterectomy); non-drug treatments (smoking cessation and alcohol abstinence, adherence to the Mediterranean diet, and increased physical activity) are of great importance. Movement disorders are seen in 80% of patients after a stroke and are the leading cause of disability. Therapeutic exercises aimed at training movements in the paretic limbs and at preventing the development of contractures are of utmost importance in post-stroke movement disorders. The use of citicoline to improve motor function recovery is discussed.
Highlights
other cardiovascular diseases is of key importance for the management
Movement disorders are seen in 80% of patients
Therapeutic exercises aimed at training movements in the paretic limbs
Summary
Secondary prevention of recurrent stroke and other cardiovascular diseases is of key importance for the management of a patient after ischemic stroke. Метаанализ исследований, посвященных оценке эффективности антитромбоцитарных средств у больных, перенесших ИИ или транзиторную ишемическую атаку (ТИА), показал, что длительный (в течение 3 лет) прием антитромбоцитарных средств достоверно снижает риск развития повторного инсульта, инфаркта миокарда и острой сосудистой смерти [8]. У пациентов после ИИ или ТИА, принимающих варфарин и поддерживающих МНО на уровне 2,0–3,5, ишемические события ежегодно развиваются только в 8% случаев при относительно низкой частоте (до 3% в год) значительных кровотечений.
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